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Open Access 01-12-2021 | Facial Palsy | Case report

Bilateral facial colliculus syndrome caused by pontine tegmentum infarction: a case report

Authors: Sheng Zhuang, Weiye Xie, Chengjie Mao

Published in: BMC Neurology | Issue 1/2021

Abstract

Background

Bilateral facial colliculus syndrome is a rare clinical presentation in patient with pontine infarction. We herein described a case of bilateral facial paralysis and complete horizontal gaze palsy possibly caused by paradoxical embolization from patent foramen ovale related stroke.

Case presentation

A 55-year-old male presented with sudden onset of complete peripheral facial palsy and horizontal gaze palsy after Valsava maneuver. MRI revealed symmetric involvement of bilateral pontine tegmentum in accordance with the location of facial colliculus. CSF analysis and follow-up MRI showed no evidence of central demyelinating disease. Subsequent echocardiography revealed patent foramen ovale and closure surgery was performed.

Conclusions

Facial colliculus syndrome with symmetric dorsal pontine tegmentum involvement may a rare manifestation in posterior circulation stroke.

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Title: Bilateral facial colliculus syndrome caused by pontine tegmentum infarction: a case report
Authors: Sheng Zhuang
Weiye Xie
Chengjie Mao
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Facial Palsy
Magnetic Resonance Imaging
Magnetic Resonance Imaging
Echocardiography
Demyelinating Disease
Echocardiography
Ophthalmoparesis
Upbeat Nystagmus
Published in: BMC Neurology / Issue 1/2021
Electronic ISSN: 1471-2377
DOI: https://doi.org/10.1186/s12883-021-02524-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Bilateral facial colliculus syndrome caused by pontine tegmentum infarction: a case report

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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