Isolated eight-and-a-half syndrome associated with pontin hemorrhage: a rare clinical presentation with topological significance

Abstract

The eight-and-a-half syndrome is a critical clinical condition defined by peripheral facial palsy and the ocular symptoms mostly linked to ischemic cerebrovascular disease affecting the pontin tegmentum. We present a case of isolated eight-and-a-half syndrome with a pontine hemorrhage and discuss it’s topological implications in context of neurological practice. This is the one of few cases presenting with eight-and-a-half syndrome following the pontine hemorrhage. Despite showing similar clinical features and clinical prognosis the our case is intriguing due to its unique topological anatomy demonstrating an initial improvement in ocular symptoms.