Foville syndrome

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Right hemiplegia with left-sided diplopia.

Patient Data

Age: 50 years
Gender: Male
mri

Wedge-shaped area of high T2 and FLAIR signal with restricted diffusion involving the left inferior medial aspect of the pons with no haemorrhagic component seen on GE sequence.

Peripheral mucosal thickening of the maxillary and sphenoid sinuses with partial opacification of the ethmoid cell (chronic sinusitis).

Case Discussion

MRI features of infarction involving the medial inferior aspect of the pons, known as Inferior medial pontine syndrome or Foville syndrome, secondary to occlusion of the paramedian branches of the basilar artery.

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