Foville's Syndrome Record of a Case

Mutch, J. R.

doi:10.1136/bjo.23.4.225

Cited by 7 publications

(2 citation statements)

References 3 publications

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“…Weber syndrome was mainly caused by hemorrhage (n = 1/3) or infectious etiologies (n = 2/3) [4,23,24]. At the level of the pons, Foville syndrome was frequently caused by hemorrhage (n = 8/15), followed by ischemic stroke (n = 4/15) and brain metastases (n = 2/15) [25][26][27][28][29][30][31][32][33][34][35][36][37]. Conversely, Millard-Gubler syndrome was mostly related to an ischemic stroke (n = 7/ 9), and rarely brought about by hemorrhage (n = 1/9) or brain abscess (n = 1/9) [38][39][40][41][42][43][44][45][46].…”

Section: Causes Of Crossed Brainstem Syndromesmentioning

confidence: 99%

Crossed brainstem syndrome revealing bleeding brainstem cavernous malformation: an illustrative case

Beucler

Boissonneau

Ruf³

et al. 2021

BMC Neurol

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Background Since the nineteenth century, a great variety of crossed brainstem syndromes (CBS) have been described in the medical literature. A CBS typically combines ipsilateral cranial nerves deficits to contralateral long tracts involvement such as hemiparesis or hemianesthesia. Classical CBS seem in fact not to be so clear-cut entities with up to 20% of patients showing different or unnamed combinations of crossed symptoms. In terms of etiologies, acute brainstem infarction predominates but CBS secondary to hemorrhage, neoplasm, abscess, and demyelination have been described. The aim of this study was to assess the proportion of CBS caused by a bleeding episode arising from a brainstem cavernous malformation (BCM) reported in the literature. Case presentation We present the case of a typical Foville syndrome in a 65-year-old man that was caused by a pontine BCM with extralesional bleeding. Following the first bleeding episode, a conservative management was decided but the patient had eventually to be operated on soon after the second bleeding event. Discussion A literature review was conducted focusing on the five most common CBS (Benedikt, Weber, Foville, Millard-Gubler, Wallenberg) on Medline database from inception to 2020. According to the literature, hemorrhagic BCM account for approximately 7 % of CBS. Microsurgical excision may be indicated after the second bleeding episode but needs to be carefully weighted up against the risks of the surgical procedure and openly discussed with the patient. Conclusions In the setting of a CBS, neuroimaging work-up may not infrequently reveal a BCM requiring complex multidisciplinary team management including neurosurgical advice.

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Section: Causes Of Crossed Brainstem Syndromesmentioning

confidence: 99%

Crossed brainstem syndrome revealing bleeding brainstem cavernous malformation: an illustrative case

Beucler

Boissonneau

Ruf³

et al. 2021

BMC Neurol

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“…Mutch (6) states that the Foville syndrome "consists of paralysis of conjugate lateral (eye) movement towards the side of the lesion, associated with a peripheral paralysis of the seventh nerve on the same side," making no mention of contralateral supranuclear paralyses. Jayle and Ourgaud (7) noted paralysis of horizontal gaze alone.…”

Section: Vol VImentioning

confidence: 99%

Benign Cerebellar Tumour Presenting a Modified Foville Syndrome

Levene

1958

J American Geriatrics Society

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Syndromes of the Pontile Tegmentum

Freeman¹,

Ammerman²,

Stanley³

1943

Arch NeurPsych

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The pons is divided dorsoventrally into three portions, the tegmentum lying in the center, with the basis situated ventrally and the tectum dorsally. Each portion has certain syndromes connected with it, although there is not uncommonly some overlapping. Most present knowledge concerning the various structures in the pons has come from clinicopathologic studies, reaching back at least eighty years. Briefly considered, the syndrome of the basis is predominantly motor, since the pyramidal tracts are located ventrally. Unilateral lesions, occurring in response to thrombosis of small branches of the basilar artery, are by no means infrequent in cases of cerebral ateriosclerosis, but are seldom large enough to produce a severe degree of hemiplegia. Sometimes such a lesion can be recognized by the great degree of spasticity without involvement of sensibility or language. Bilateral lesions of the base of the pons are a frequent cause of pseudobulbar palsy.1 Much of the emotional explosiveness seen in patients with multiple sclerosis can be attributed to interruption of the conducting pathways for volitional movements in the basis pontis with preservation of the mechanism for mimetic movements lying more dorsally.2 One of us (W. F.),3 in a series of 100 brains of psychotic persons, in which the pons was sectioned minutely, found 14 specimens with small focal lesions of the pons. Such lesions may well underlie the weakened emotional control observed in persons with cerebral arteriosclerosis even in the absence of demon¬ strable "strokes."Damage to the tectum of the pons results in a major "cerebellar" syndrome because of the interruption of the dentatorubral connections,' but a lesion in this vicinity (possibly involving the tegmentum) will also produce on the opposite side a lack of mimetic response with preservation of voluntary movement, the reverse of spasmodic laughing and crying.2Lesions of the tegmentum of the pons produce a variety of symptoms, depending on the particular location. Since the pons is a rather large structure, small focal lesions may occur in different portions, with production of isolated signs, but more often there are combinations of signs which have been erected into various syn-From the

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Foville's Syndrome Record of a Case

Cited by 7 publications

References 3 publications

Crossed brainstem syndrome revealing bleeding brainstem cavernous malformation: an illustrative case

Crossed brainstem syndrome revealing bleeding brainstem cavernous malformation: an illustrative case

Benign Cerebellar Tumour Presenting a Modified Foville Syndrome

Syndromes of the Pontile Tegmentum

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