A case report of eight and a half syndrome

Excerpt

A 74-year-old male presented with a 10-day history of double vision, slurred speech, and epiphora in the left eye. His past medical history included hypertension, type 2 diabetes mellitus and gout. The neurological examination showed left conjugate gaze palsy and internuclear ophthalmoplegia on right gaze and left facial paresis. The physical examination findings were otherwise normal. DWI revealed a high signal involving the pons (Fig. 1). The immediate treatment was given to the patient with anti-aggregation therapy (aspirin 300 mg) and rehabilitation. One month later, slurred speech disappeared, the patient’s diplopia gradually improved but mild facial paresis remained.

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