Inferior medial pontine syndrome (Foville syndrome)

Case contributed by Huda B. Gharbia
Diagnosis almost certain

Presentation

Diplopia, left-sided facial paralysis, and right-sided hemiparesis of one-day duration.

Patient Data

Age: 60 years
Gender: Female
This study is a stack
Axial
FLAIR
This study is a stack
Axial
T2
This study is a stack
Coronal
T2
This study is a stack
Sagittal
T2
This study is a stack
Axial
DWI
This study is a stack
Axial
ADC
This study is a stack
Axial
T1
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Info

A small area of altered signal intensity of the left para-midline of inferior pons appears hyperintense in T2W and FLAIR sequences and shows restricted diffusion in DW/ADC.

Case Discussion

Inferior medial pontine syndrome (Foville syndrome) is a brainstem stroke syndrome which describes acute infarction of the medial inferior pons, due to occlusion of paramedian branches of the basilar artery.

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