Presentation
Young hypertensive, type 2 diabetes, dyslipidemia, and positive smoking history. The patient presents with a new onset of an ataxic gait, diplopia, and gaze palsy.
Patient Data
Multiparametric contrast-enhanced MRI brain confirms an acute infarct within the right facial colliculus. There is a focal restriction on diffusion imaging with a reduced average diffusivity on ADC mapping. MRI brain is otherwise normal.
Case Discussion
The patient presented with clinical features suggestive of facial colliculus syndrome. He had an internuclear ophthalmoplegia on neurological examination with a markedly ataxic gait due to his diplopia. Further cardiac examination including a cardio echogram and a carotid doppler were later requested as part of his initial clinical work-up.
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