Lateral pontine syndrome
Last revised by Henry Knipe on 8 Sep 2022
Citation, DOI, disclosures and article data
Citation:
Abdrabou A, Knipe H, Rasuli B, et al. Lateral pontine syndrome. Reference article, Radiopaedia.org (Accessed on 28 Nov 2023) https://doi.org/10.53347/rID-32269
Permalink:
rID:
32269
Article created:
22 Nov 2014, Ahmed Abdrabou
Disclosures:
At the time the article was created Ahmed Abdrabou had no recorded disclosures.
View Ahmed Abdrabou's current disclosuresLast revised:
Disclosures:
At the time the article was last revised Henry Knipe had the following disclosures:
- Radiopaedia Events Pty Ltd, Speaker fees (past)
- Integral Diagnostics, Shareholder (ongoing)
- Micro-X Ltd, Shareholder (ongoing)
These were assessed during peer review and were determined to not be relevant to the changes that were made.
View Henry Knipe's current disclosuresRevisions:
14 times, by 9 contributors - see full revision history and disclosures
Systems:
Sections:
Synonyms:
- Marie-Foix syndrome
- Lateral pontine stroke syndrome
- Marie-Foix-Alajouanine syndrome
Lateral pontine syndrome, also known as Marie-Foix syndrome or Marie-Foix-Alajouanine syndrome, refers to one of the brainstem stroke syndromes of the lateral aspect of the pons.
On this page:
Clinical presentation
There is a characteristic clinical presentation 1,2,4:
- ipsilateral
- limb ataxia: cerebellar tracts
- loss of pain and temperature sensation of the face: spinal trigeminal tract and nucleus
- facial weakness: facial nerve (CN VII)
- hearing loss, vertigo and nystagmus: vestibulocochlear nerve (CN VIII)
- contralateral
- hemiplegia/hemiparesis: corticospinal tract
- loss of pain and temperature sensation: spinothalamic tracts
Pathology
The lateral pontine syndrome occurs due to occlusion of perforating branches of the basilar and anterior inferior cerebellar (AICA) arteries 1,2.
History and etymology
The syndrome was first described by Pierre Marie (1853-1940), Charles Foix (1882-1927), and Théophile Alajouanine (1890-1980), French neurologists, in 1922 3.
References
- 1. Kumral E, Bayülkem G, Evyapan D. Clinical Spectrum of Pontine Infarction. Clinical-MRI Correlations. J Neurol. 2002;249(12):1659-70. doi:10.1007/s00415-002-0879-x - Pubmed
- 2. Nouh A, Remke J, Ruland S. Ischemic Posterior Circulation Stroke: A Review of Anatomy, Clinical Presentations, Diagnosis, and Current Management. Front Neurol. 2014;5:30. doi:10.3389/fneur.2014.00030 - Pubmed
- 3. Marie P, Foix C, Alajouanine T. De I'atrophie cerebelleuse tardive a predominance corticale. Rev Neurol (Paris). 1922;29:1082-111.
- 4. Balami J, Chen R, Buchan A. Stroke Syndromes and Clinical Management. QJM. 2013;106(7):607-15. doi:10.1093/qjmed/hct057 - Pubmed
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