Brissaud-Sicard syndrome
Citation, DOI, disclosures and article data
At the time the article was created Rohit Sharma had no recorded disclosures.
View Rohit Sharma's current disclosuresAt the time the article was last revised Rohit Sharma had no recorded disclosures.
View Rohit Sharma's current disclosuresBrissaud-Sicard syndrome is a very rare pontine stroke syndrome that involves the anterolateral and inferior pons.
On this page:
Clinical presentation
Classically, the syndrome presents as ipsilateral facial cramps and contralateral hemiparesis 1-3.
Pathology
It has been postulated that the syndrome is caused by damage to the pons involving the corticospinal tract and the CN VII nucleus or nerve root 2,3. It can be caused by a posterior circulation ischemic stroke, as well as other lesions such as neoplasm (e.g. brainstem glioma) 1-3.
Radiographic features
Lesions are in the pons with imaging characteristics depending on underlying cause.
History and etymology
The syndrome is named after Édouard Brissaud (1852-1909) and Jean Athanase Sicard (1872-1929), French physicians, who described the syndrome in 1908 in patients with infarcts secondary to neurosyphilis 2,4. However, it was first described over fifty years earlier by Adolphe-Marie Gubler (1821-1879), another French physician, in 1856 2,5.
References
- 1. Marx JJ, Thömke F. Classical crossed brain stem syndromes: myth or reality?. (2009) Journal of neurology. 256 (6): 898-903. doi:10.1007/s00415-009-5037-2 - Pubmed
- 2. Tacik P, Krasnianski M, Alfieri A, Dressler D. Brissaud-Sicard syndrome caused by a diffuse brainstem glioma. A rare differential diagnosis of hemifacial spasm. (2014) Acta neurochirurgica. 156 (2): 429-30. doi:10.1007/s00701-013-1984-6 - Pubmed
- 3. Ertekin C, Celebisoy N, Colakoglu Z, Yünten N, Uludag B. Ipsilateral facial contracture due to pontine infarct. (1997) European neurology. 37 (1): 62-3. doi:10.1159/000117462 - Pubmed
- 4. Brissaud E, Sicard J. A L’hémispasme facial alterne. (1908) Le Presse médicale 16:234–236.
- 5. Gubler A. De l’Hémiplégie alterneen visage comme signe et lésion de la protuberance annulaire et comme preuve de la décussation des nerfs faciaux. (1856) Gazette hebdomadaire de medicine et de chirurgie 3:749–816, 789–792, 811–816
Incoming Links
Related articles: Stroke and intracranial haemorrhage
-
stroke and intracranial hemorrhage
- general articles
-
ischemic stroke
- general discussions
- scoring and classification systems
- Alberta stroke program early CT score (ASPECTS)
- ASCOD classification
- Canadian Neurological Scale
- Heidelberg bleeding classification
- NIH Stroke Scale
- Mathew stroke scale
- modified Rankin scale
- Orgogozo Stroke Scale
- Scandinavian Stroke Scale
- thrombolysis in cerebral infarction (TICI) scale
- TOAST classification
- collateral vessel scores
- signs
- by region
- hemispheric infarcts
- frontal lobe infarct
- parietal lobe infarct
- temporal lobe infarct
- occipital lobe infarct
- alexia without agraphia syndrome: PCA
- cortical blindness syndrome (Anton syndrome): top of basilar or bilateral PCA
- Balint syndrome: bilateral PCA
- lacunar infarct
-
thalamic infarct
- artery of Percheron infarct
- Déjerine-Roussy syndrome (thalamic pain syndrome): thalamoperforators of PCA
- top of the basilar syndrome
- striatocapsular infarct
- choroid plexus infarct
- cerebellar infarct
-
brainstem infarct
- midbrain infarct
- Benedikt syndrome: PCA
- Claude syndrome: PCA
- Nothnagel syndrome: PCA
- Weber syndrome: PCA
- Wernekink commissure syndrome
- pontine infarct
- Brissaud-Sicard syndrome
- facial colliculus syndrome
- Gasperini syndrome: basilar artery or AICA
- inferior medial pontine syndrome (Foville syndrome): basilar artery
- lateral pontine syndrome (Marie-Foix syndrome): basilar artery or AICA
- locked-in syndrome: basilar artery
- Millard-Gubler syndrome: basilar artery
- Raymond syndrome: basilar artery
- medullary infarct
- Babinski-Nageotte syndrome
- Cestan-Chenais syndrome
- hemimedullary syndrome (Reinhold syndrome)
- lateral medullary stroke syndrome (Wallenberg syndrome)
- medial medullary syndrome (Déjerine syndrome)
- Opalski syndrome
- midbrain infarct
- acute spinal cord ischemia syndrome
- hemispheric infarcts
- by vascular territory
- by vessel size
- treatment options
- complications
-
intracranial hemorrhage
-
intra-axial hemorrhage
- signs and formulas
- ABC/2 (volume estimation)
- black hole sign
- blend sign
- cashew nut sign
- CTA spot sign
- island sign
- satellite sign
- swirl sign
- zebra sign
- by type
- by location
- signs and formulas
- extra-axial hemorrhage
- extradural hemorrhage (EDH)
- intralaminar dural hemorrhage
- subdural hemorrhage (SDH)
-
subarachnoid hemorrhage (SAH)
- types
- complications
- grading systems
- subpial hemorrhage
-
intra-axial hemorrhage
Unable to process the form. Check for errors and try again.
