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[A case of Avellis' syndrome with ipsilateral central facial palsy due to a small medullary infarction].
Rinsho Shinkeigaku. 2000 Apr; 40(4):409-11.RS

Abstract

We report a 51-year-old man with mild left central facial palsy and left Avellis' syndrome due to a small medullary infarction. On admission, neurological examination revealed hoarseness, dysphasia, absent left gag reflex, palsies of the left vocal cord and left soft palate, and hypalgesia and thermohypesthesia on the right side of the trunk and extremities. In addition, he had a mild left central facial palsy. He had no nausea, vomiting, vertigo, hiccups, nystagmus, Horner's sign, facial numbness, or paresis or ataxia of the limbs. A T2 weighted MRI showed a small, high signal intensity area in the left dorsal region of the medulla and this lesion was presumed to involve the nucleus ambiguus and a part of the spinothalamic tract. These findings suggest that an aberrant supranuclear pathway, looping around the nucleus ambiguus to the facial nucleus exists in our patient.

Authors+Show Affiliations

Takahashi K
Department of Neurology, Masuda Red Cross Hospital.
Kitani M
No affiliation info available
Fukuda H
No affiliation info available

MeSH

Cerebral InfarctionFacial ParalysisHumansJaw DiseasesLaryngeal DiseasesMaleMedulla OblongataMiddle AgedPalate, SoftParalysisPharyngeal DiseasesSyndrome

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

10967664

Citation

Takahashi, K, et al. "[A Case of Avellis' Syndrome With Ipsilateral Central Facial Palsy Due to a Small Medullary Infarction]." Rinsho Shinkeigaku = Clinical Neurology, vol. 40, no. 4, 2000, pp. 409-11.
Takahashi K, Kitani M, Fukuda H. [A case of Avellis' syndrome with ipsilateral central facial palsy due to a small medullary infarction]. Rinsho Shinkeigaku. 2000;40(4):409-11.
Takahashi, K., Kitani, M., & Fukuda, H. (2000). [A case of Avellis' syndrome with ipsilateral central facial palsy due to a small medullary infarction]. Rinsho Shinkeigaku = Clinical Neurology, 40(4), 409-11.
Takahashi K, Kitani M, Fukuda H. [A Case of Avellis' Syndrome With Ipsilateral Central Facial Palsy Due to a Small Medullary Infarction]. Rinsho Shinkeigaku. 2000;40(4):409-11. PubMed PMID: 10967664.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A case of Avellis' syndrome with ipsilateral central facial palsy due to a small medullary infarction]. AU - Takahashi,K, AU - Kitani,M, AU - Fukuda,H, PY - 2000/9/1/pubmed PY - 2001/2/28/medline PY - 2000/9/1/entrez SP - 409 EP - 11 JF - Rinsho shinkeigaku = Clinical neurology JO - Rinsho Shinkeigaku VL - 40 IS - 4 N2 - We report a 51-year-old man with mild left central facial palsy and left Avellis' syndrome due to a small medullary infarction. On admission, neurological examination revealed hoarseness, dysphasia, absent left gag reflex, palsies of the left vocal cord and left soft palate, and hypalgesia and thermohypesthesia on the right side of the trunk and extremities. In addition, he had a mild left central facial palsy. He had no nausea, vomiting, vertigo, hiccups, nystagmus, Horner's sign, facial numbness, or paresis or ataxia of the limbs. A T2 weighted MRI showed a small, high signal intensity area in the left dorsal region of the medulla and this lesion was presumed to involve the nucleus ambiguus and a part of the spinothalamic tract. These findings suggest that an aberrant supranuclear pathway, looping around the nucleus ambiguus to the facial nucleus exists in our patient. SN - 0009-918X UR - https://www.unboundmedicine.com/medline/citation/10967664/[A_case_of_Avellis'_syndrome_with_ipsilateral_central_facial_palsy_due_to_a_small_medullary_infarction]_ L2 - https://medlineplus.gov/paralysis.html DB - PRIME DP - Unbound Medicine ER -