Medial pontine syndrome


Medial inferior pontine syndrome is a condition associated with a contralateral hemiplegia.
"Medial inferior pontine syndrome" has been described as equivalent to Foville's syndrome.

Presentation

Although medial pontine syndrome has many similarities to medial medullary syndrome, because it is located higher up the brainstem in the pons, it affects a different set of cranial nuclei.
Structure affectedPresentation
Corticospinal tractContralateral spastic hemiparesis
Medial lemniscusContralateral PCML pathway loss
Abducens nerveStrabismus. Abducens nerve lesion localizes the lesion to inferior pons.

Depending upon the size of the infarct, it can also involve the facial nerve.

Cause

Medial pontine syndrome results from occlusion of paramedian branches of the basilar artery.

Diagnosis

Treatment