Twenty-Four Syndrome: An Untold Presentation of Pontine Hemorrhage

Karadan, Ummer; Supreeth, Ramesh Naga; Manappallil, Robin George; Chellenton, Jayakrishnan

doi:10.1016/j.jstrokecerebrovasdis.2017.12.007

Cited by 6 publications

(3 citation statements)

References 8 publications

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“…Pontine vascular lesions are relatively rare in comparison to cerebral hemorrhage. Owing to the close anatomical proximity of the cranial nerve nuclei to the pontine nuclei, pontine vascular lesions affect the cranial nuclei, leading to distinct clinical symptoms (2). The specific symptoms correlate well with the affected cranial nerve, which is most often revealed by radiological imaging (3,4).…”

Section: Discussionmentioning

confidence: 99%

“Sixteen syndrome”—a new pontine ophthalmo-neurological syndrome within the one-and-a-half syndrome spectrum of disorders: case report and literature review

Song

Zhang

et al. 2020

Quant Imaging Med Surg

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Section: Discussionmentioning

confidence: 99%

“Sixteen syndrome”—a new pontine ophthalmo-neurological syndrome within the one-and-a-half syndrome spectrum of disorders: case report and literature review

Song

Zhang

et al. 2020

Quant Imaging Med Surg

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“…Improved public perception of ICH and stroke in general may have contributed to this progress. However, it is not clear if functional outcomes have improved in parallel to survival (Karadan, U. 2018;Hao, G. 2019).…”

Section: Figure 3: Anatomy Of Foville Syndrome At the Level Of The Inferomedial Ponsmentioning

confidence: 99%

Foville Syndrome Due to Pontine Hemorrhage and Pontine Infarct: Case Series

Imran

Syahrul

Fajri

2021

bioex

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Foville Syndrome is a rare clinical feature of stroke or brain hemorrhage. Few cases have been reported worldwide particularly in Asian, Indonesia, Aceh. Patient 1: We report the case of a female 64 years old patient, was admitted in the Neurology Department of Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia, for an abrupt onset of right body side weakness two day before admission. That weakness was preceded by acute headaches and rotatory vertigo with vomiting. with hypertension history since 5 years. Physical examination found paralysis of right oculomotor movements with intact response of pupils to light, right trochlear nerve palsy, left ipsilateral facial nerve palsy, and right hemiparesis which constitute of Foville syndrome. The brain CT scan shown in the right pontine hypodensity area is pontine infarct. Etiological investigations done to chronic hypertension. Patient received antiplatelet therapy and control of vascular risk factors for secondary prevention (hypertension theraphy), and physiotherapy as treatment with clinical improvement. And she has been discharge 8 days later. Patient 2: 45-year-old right-handed female, was admitted in the Neurology Department of Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia, for an abrupt onset of right body side weakness two day before admission. That weakness was preceded by acute headaches and rotatory vertigo with vomiting. with hypertension history since 5 years. Physical examination found paralysis of right oculomotor movements with intact response of pupils to light, right trochlear nerve palsy, left ipsilateral facial nerve palsy, and right hemiparesis which constitute of Foville syndrome. The brain CT scan shown spontaneous hemorrhage in the left pontine’s. Etiological investigations done to chronic hypertension. Patient received therapy control of vascular risk factors for secondary prevention (hypertension theraphy), and physiotherapy as treatment with clinical improvement. And she has been discharge 10 days later. The diagnosis and management of brainstem stroke bring a considerable burden to the healthcare system, the patient, the family members, and the society at large. The slow increase in the global burden of stroke has been steadily increasing.

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“…Twenty-four syndrome Karadan et al 40 described a case of "twenty-four" syndrome, including "one-and-a-half " syndrome -combination of conjugate horizontal gaze palsy in one direction and INO in the other (the "one-and-a-half "), bilateral CN VII palsy (the "fourteen"), contralateral sensorineural hearing loss (CN VIII) (the "eight") and hemiparesis (the "half "). The syndrome is caused by pontine hemorrhage.…”

Section: Sixteen Syndromementioning

confidence: 99%

What’s the time? – numerical eponyms and brainstem syndromes

Čerimagić¹,

Bilić²

2021

Rad Hrvatske akademije znanosti i umjetnosti

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Brainstem syndromes and their eponyms are well known and numerous, but represent only a drop in the ocean of approximately 450 neurological eponyms. Unlike these "human" eponyms dedicated to famous neurologists, "numerical" eponyms that describe various disorders at the anatomical level of the brainstem, are less known and are rarely used in clinical practice. In this short review, we will give an overview of "human" eponyms and present in more detail the "numerical" eponyms related to brainstem syndromes. The availability of sophisticated neuroradiological and other diagnostics methods cannot replace the importance of neurological examination nor diminish the joy of the neurologist when recognizing a set of signs named after an eponym, or to describe a new one. In any case, neurology is a joy and valuable opportunity for lifelong learning, but also for contribution to continuously growing knowledge about the hidden universe in our nervous system.

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Twenty-Four Syndrome: An Untold Presentation of Pontine Hemorrhage

Cited by 6 publications

References 8 publications

“Sixteen syndrome”—a new pontine ophthalmo-neurological syndrome within the one-and-a-half syndrome spectrum of disorders: case report and literature review

“Sixteen syndrome”—a new pontine ophthalmo-neurological syndrome within the one-and-a-half syndrome spectrum of disorders: case report and literature review

Foville Syndrome Due to Pontine Hemorrhage and Pontine Infarct: Case Series

What’s the time? – numerical eponyms and brainstem syndromes

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