Foville syndrome

Case contributed by Ahmed Abdrabou
Diagnosis almost certain


Diplopia, left-sided facial paralysis, and right-sided hemiparesis of 2 days duration.

Patient Data

Age: 75 years
Gender: Male

An area of diffusion restriction is noted at the left medial aspect of inferior pons displaying faintly bright signal on T2 and FLAIR indicating early subacute infarction. 

Case Discussion

Inferior medial pontine syndrome, also known as Foville syndrome, describes an infarction that involves the medial aspect of inferior pons affecting abducens and facial nerve nuclei (ipsilateral cranial neuropathy) and corticospinal tract and medial leminiscus (contralateral hemiparesis). 

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