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MEDIAL INFERIOR PONTINE SYNDROME (FOVILLE’S SYNDROME)
BYOHONSI CORNELIUS
ANIEDU UGOCHUCKWU I.
NDENECHO HILDA SIRRI (GROUP 8)
CONTENT
1. INTRODUCTION2. CAUSE OF THE SYNDROME3. RISK FACTORS ASSOCIATED WITH
SYNDROME4. CLINICAL PRESENTATION AND
SRUCTURES AFFECTED5. TREATMENT AND PROGNOSIS6. CONCLUSION
INTRODUCTION
Medial inferior pontine syndrome or Foville's
syndrome was initially described by Achille
-Louis-François Foville, a French physician, in
1859. This syndrome is associated with the
region of the brainstem known as the pons.
CAUSE OF THE SYNDROME
Medial Inferior Pontine Syndrome or
Foville’s syndrome results from the
occlusion of the paramedian or pontine
branches of the basilar artery.
RISK FACTORS ASSOCIATED WITH SYNDROME
Age. Hypertension. Alcohol abuse. Diabetes mellitus Drug abuse. Obesity and physical inactivity. Smoking.
CLINICAL PRESENTATIONS AND STRUCTURES AFFECTED
AFFECTED STRUCTURES CLINICAL PRESENTATION
Cortocospinal Tract Contralateral spastic hemisparesis
of the body
Medial Lemniscus Contralateral loss of tactile
sensation and vibration sensation
from the trunk and extremities.
Abducens Nerve Roots( infra-axial
fibers)
Ipsilateral lateral rectus paralysis
Vascular lesions of the caudal pons at the level of the abducent nucleus of the cranial nerve CN VII(abducent nerve)A- Medial inferior pontine syndrome.
PREVENTION AND TREATMENT
Basically, Aspirin reduces mortality and stroke occurrence following this syndrome.
In acute conditions, nursing the patient in a dedicated stroke unit, rather than a general medical ward is associated with a better outcome.
Secondary prophylaxis include the control of the risk factors associated with the syndrome.
CONCLUSION
The favorable outcome may be related to the level of the pontine lesion, which influences the effect on the corticospinal tract, medial lemniscus and the abducen nerve root
REFERENCES Larner, A.J et al A-Z of neurological practice.
Cambridge Uni. Press 2nd Ed. 2011. pg 814 Gubitz, G and Sandercock, P. Acute
Ischemic Stroke. British medical Journal 2000; 300: 692-696
http://en.wikipedia.org/wiki/Foville's_syndrome
http://en.wikipedia.org/wiki/Medial_lemniscus
http://en.wikipedia.org/wiki/Medial_pontine_syndrome