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Table 1
Anatomic Region Function Vascular Supply Clinical Features
Syndrome Ipsilateral Contralateral
Cerebellum
Regulation and control of muscle tone, coordination, control of posture and gait
• Vertebral artery
• Posterior inferior cerebellar artery
Anetrior vermis Gait, trunk and leg dystaxia
Posterior vermis Truncal ataxia
Midbrain
Modulation of sensation, movement and consciousness
• Posterior cerebral artery
Weber 3rd nerve palsy Hemiplegia- arm & leg
Claude 3rd nerve palsy Cerebellar ataxia, tremor,
Benedikt 3rd nerve palsy Cerebellar ataxia, tremor and corticospinal signs
Parinaud
Paralysis of upward gaze and accommodation, fixed pupils
-
Pons
Modulation of sensation, movement and consciousness
• Basilar artery
Locked-in syndrome
Bilateral hemiparesis- arm & leg, facial weakness, lateral gaze weakness, dysarthria
Foville Lateral gaze weakness, facial
Hemiparesis- arm & leg
weakness
Millard-Gubler Lateral gaze weakness, facial weakness
-
Raymond Lateral gaze weakness
Hemiparesis- arm & leg
• Basilar artery
• Anterior inferior cerebellar artery
Marie-Foix Arm and leg ataxia Hemiparesis- arm & leg Hemisensory loss- pain & temperature
Medulla
Modulation of sensation, movement and consciousness
• Vertebral artery
• Posterior inferior cerebellar artery
Wallenberg (Lateral Medullary)
Nystagmus, Vertigo, Ataxia, Sensory loss in face, Hoarseness, Dysphagia, Horner syndrome
Hemisensory loss- pain and temperature
• Anterior Spinal artery
Medial Medullary
Weakness and later hemiatrophy of tongue
Hemiparesis- arm & leg, Hemisensory loss- touch and proprioception
Cerebrum
• Occipital lobe
• Visual perception & recognition
• Posterior cerebral artery
Balint Bilateral loss of voluntary eye movements, poor visual-motor coordination, inability to
• Infero-medial temporal lobe
• Visual discrimination
•
understand visual objects
• Posterior cerebral artery
• Top of Basilar
Anton Bilateral loss of vision, unawareness or denial of blindness
Thalamus Integration of sensory and motor systems
• Posterior cerebral artery
Dejerine-Roussy - Hemisensory loss- all modalities, hemi-body pain