Foville syndrome

Case contributed by Dr Muhammad Bilal Fayyaz

Presentation

Patient admitted with right sided weakness, dizziness, unstable gait and slurred speech.

Patient Data

Age: 50 years
Gender: Male
CT

Normal intracranial appearances.

MRI

Acute infarct of the left inferomedial hemi pons as evidenced by avid diffusion restriction. No hemosiderin deposition to suggest hemorrhage.

Tiny amount of small vessel ischemic change in the periventricular white matter. 

Normal appearances of the cerebellum.

Fluid in the right mastoid air cells.

Case Discussion

MRI appearances in keeping with an acute left hemi pontine infarct (Foville syndrome). This patient depicts most of the focal neurological deficits of Foville syndrome.

This occurs due to occlusion of the paramedian branches of the basilar artery so is classified as a brainstem stroke.

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Case information

rID: 77437
Published: 14th May 2020
Last edited: 19th Mar 2021
Inclusion in quiz mode: Included

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