Foville syndrome

Case contributed by Utkarsh Kabra
Diagnosis almost certain

Presentation

Left sided weakness

Patient Data

Age: 70 years
Gender: Male
mri
This study is a stack
Axial
T1
This study is a stack
Axial
T2
This study is a stack
Axial
FLAIR
This study is a stack
Axial
DWI
This study is a stack
Axial
ADC
This study is a stack
Axial
SWI
This study is a stack
Sagittal
T1
This study is a stack
Coronal T2
fat sat
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Info

Subacute infarct with diffusion restriction is seen involving inferomedial aspect of pons on right side.

Gliotic area with chronic haemorrhage are seen involving right lentiform nucleus, external capsule.

Lacunar infarcts and areas of ischaemic demyelination are seen in bilateral periventricular, deep and subcortical white matter.

Convexity sulci, lateral ventricles and surface of cerebellar folia are prominent , likely age related atrophy.

Case Discussion

Subacute infarct involving inferomedial aspect of pons on right side consistent with Foville syndrome.

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