Pontine Infarct Resulting in Millard-Gubler Syndrome: A Case Report

Abstract

Millard-Gubler syndrome is a crossed brainstem syndrome involving the facial nerve, abducens nerve, and the pyramidal tracts, typically resulting in ipsilateral facial weakness and contralateral hemiparesis. Here we report the case of a 76-year-old female with no pertinent past medical history who presented to the emergency department with acute left-sided facial droop and right upper extremity sensory loss. A pontine infarction was identified on imaging and she was managed medically with complete recovery. Pontine infarction can result in Millard-Gubler syndrome and present with facial weakness and subtle contralateral limb symptoms.

Harnessing Neuroplasticity: A Case Report on Physiotherapy Rehabilitation for Millard-Gubler Syndrome

“…Millard-Gubler syndrome is a rare condition affecting the ventral pontine area characterized by weakened eye movement (due to the abducens nerve), weakened facial muscles on the same side (facial nerve), and contralateral hemiparesis (pyramidal tract fibers) [ 8 ]. This is usually caused by a unilateral lesion at the basal portion of the caudal pons as a result of a mass, haemorrhage, or, rarely, an infarction [ 9 , 10 ].…”