A blessing in disguise: Resolution of left hemichorea following a right pontine infarct stroke

2020 ◽  
Vol 79 ◽  
pp. e108-e109
Author(s):  
P.S. Fong ◽  
T.T. Lim
Keyword(s):  
1987 ◽  
Vol 66 (6) ◽  
pp. 929-931 ◽  
Author(s):  
Douglas C. Anthony ◽  
Susan K. Atwater ◽  
Marvin P. Rozear ◽  
Peter C. Burger

✓ Following a 15-foot fall from a roof, a 70-year-old man became comatose and developed signs of pontine dysfunction. There was a severely comminuted fracture of the distal left femur suggesting that he had landed in an upright position. It was clinically unclear whether the fall was secondary to a pontine infarct; however, an autopsy revealed a fracture of the clivus which had entrapped and occluded the basilar artery, causing death. These findings, and those in similar cases, suggest that this entity results from a force transmitted in an axial direction.


2006 ◽  
Vol 21 (3) ◽  
pp. 233-237 ◽  
Author(s):  
Young Hwan Ahn ◽  
Sung H. You ◽  
Marilys Randolph ◽  
Seong Ho Kim ◽  
Sang Ho Ahn ◽  
...  

2008 ◽  
Vol 32 (1) ◽  
pp. 159-162 ◽  
Author(s):  
Ji-Won Park ◽  
Seong Ho Kim ◽  
Yong Woon Kim ◽  
Jong Yeon Kim ◽  
So Young Park ◽  
...  

1996 ◽  
Vol 114 (3) ◽  
pp. 482-486 ◽  
Author(s):  
K DOYLE ◽  
C FOWLER ◽  
A STARR

2012 ◽  
Vol 2012 ◽  
pp. 1-2
Author(s):  
Nicholas Marcanthony ◽  
Ehab Farag

Apneusis, or apneustic respirations, is characterized by an abnormal breathing pattern involving gasping and the inability to fully expire. A loss of gag reflex and other cranial nerve deficits are also often accompanied with these respiratory changes. In neurological intensive care units (NICUs), these respiratory and airway changes are not uncommon and have been well documented (Lee et al. 1976). These clinical changes are often associated with pontine trauma as it is the core pneumotaxic center in the brain stem. We describe the airway management of a patient with an acute, occult pontine infarct status post craniectomy and cervical laminectomy for decompression of known Chiari malformation in the postanesthesia care unit (PACU).


1997 ◽  
Vol 12 (6) ◽  
pp. 1094-1096 ◽  
Author(s):  
Mark W. Kellett ◽  
Gavin R. Young ◽  
Nicholas A. Fletcher

2017 ◽  
pp. 352-354 ◽  
Author(s):  
Ummer Karadan ◽  
Robin George Manappallil

2021 ◽  
Vol 3 (2) ◽  
pp. 114-120
Author(s):  
Imran I ◽  
Syahrul S ◽  
Nurul Fajri

Foville Syndrome is a rare clinical feature of stroke or brain hemorrhage. Few cases have been reported worldwide particularly in Asian, Indonesia, Aceh. Patient 1: We report the case of a female 64 years old patient, was admitted in the Neurology Department of Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia, for an abrupt onset of right body side weakness two day before admission. That weakness was preceded by acute headaches and rotatory vertigo with vomiting. with hypertension history since 5 years. Physical examination found paralysis of right oculomotor movements with intact response of pupils to light, right trochlear nerve palsy,  left ipsilateral facial  nerve palsy, and right hemiparesis which constitute of Foville syndrome. The brain CT scan shown  in the  right pontine hypodensity area is pontine infarct. Etiological investigations done to chronic hypertension. Patient received antiplatelet therapy and control of vascular risk factors for secondary prevention (hypertension theraphy), and physiotherapy as treatment with clinical improvement. And she has been discharge 8 days later. Patient 2: 45-year-old right-handed female, was admitted in the Neurology Department of Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia, for an abrupt onset of right body side weakness two day before admission. That weakness was preceded by acute headaches and rotatory vertigo with vomiting. with hypertension history since 5 years. Physical examination found paralysis of right oculomotor movements with intact response of pupils to light, right trochlear nerve palsy,  left ipsilateral facial  nerve palsy, and right hemiparesis which constitute of Foville syndrome. The brain CT scan shown  spontaneous hemorrhage in the left pontine’s. Etiological investigations done to chronic hypertension. Patient received therapy control of vascular risk factors for secondary prevention (hypertension theraphy), and physiotherapy as treatment with clinical improvement. And she has been discharge 10 days later. The diagnosis and management of brainstem stroke bring a considerable burden to the healthcare system, the patient, the family members, and the society at large. The slow increase in the global burden of stroke has been steadily increasing.


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