Inferior medial pontine syndrome

Last revised by Assoc Prof Craig Hacking on 11 Aug 2020

Inferior medial pontine syndrome, also known as Foville syndrome, is one of the brainstem stroke syndromes occurring when there is infarction of the medial inferior aspect of the pons due to occlusion of the paramedian branches of the basilar artery 1-3. This infarction involves the following 1-3:

Clinical presentation

The presentation can be variable but manifests usually as a gaze palsy to the side of the lesion, ipsilateral abducens, and ipsilateral facial palsy and contralateral hemiplegia may be present 1-3. Crossed hemihypesthesia and ipsilateral cerebellar signs may be present in the more complete form 1-3

History and etymology

The syndrome was first described by Achille-Louis Foville (1799-1878), a French physician, in 1859 4.

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Cases and figures

  • Case 1
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  • Case 2
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  • Case 3
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  • Case 4: with subtle changes
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