Paramedian Midbrain Infarction Presenting with Bilateral Ptosis and Unilateral Median Longitudinal Fasciculus Syndrome: A Peculiar Midbrain Syndrome

IF 0.6 Q4 CLINICAL NEUROLOGY

Case Reports in Neurology Pub Date : 2022-04-04 DOI:10.1159/000523986

Yoshihiro Aoki, T. Hashimoto

引用次数: 0

Abstract

We report a case of bilateral ptosis due to paramedian midbrain infarction, which was associated with ipsilateral impaired adduction of the eye and contralateral ataxia. T2-weighted magnetic resonance imaging of the brain revealed a right paramedian midbrain infarction. The ptosis rapidly improved without a difference between the left and right sides, while the other symptoms mostly resolved within a month following treatment with antiplatelet agents and rehabilitation. An infarction of the paramedian dorsocaudal portion of the midbrain can involve both the central caudal nucleus and the median longitudinal fasciculus (MLF), causing a peculiar combination of symptoms, bilateral ptosis, and unilateral MLF syndrome.

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以双侧上睑下垂和单侧正中纵束综合征为表现的副中脑梗死:一种特殊的中脑综合征

我们报告了一例双侧上睑下垂，原因是中脑旁梗死，与同侧内收受损和对侧共济失调有关。大脑T2加权磁共振成像显示右侧正中旁脑梗塞。上睑下垂迅速好转，左右两侧没有差异，而其他症状大多在抗血小板药物治疗和康复后一个月内缓解。中脑正中背外侧部分的梗死可累及中央-尾侧核和正中纵束（MLF），引起一种特殊的症状组合，即双侧上睑下垂和单侧MLF综合征。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Neurology Medicine-Neurology (clinical)

CiteScore

1.50

自引率

0.00%

发文量

审稿时长

14 weeks

期刊介绍： This new peer-reviewed online-only journal publishes original case reports covering the entire spectrum of neurology. Clinicians and researchers are given a tool to disseminate their personal experience to a wider public as well as to review interesting cases encountered by colleagues all over the world. To complement the contributions supplementary material is welcomed. The reports are searchable according to the key words supplied by the authors; it will thus be possible to search across the entire growing collection of case reports with universally used terms, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.