Millardgubler syndrome dr rohit sharma and dr amir rezaee et al. Causas organicas mas frecuentes del sindrome piramidal. Unilateral lesion in the dorsal pontine tegmentum in the caudal third of the pons. Structures affected by the infarct are the pprf, nuclei of cranial nerves vi and vii, corticospinal tract, medial lemniscus, and the medial longitudinal fasciculus. Inability to move the eyes conjugately to the ipsilateral side due to paramedian pontine reticular formation andor abducens nerve nucleus involvement. She got seven nerve palsy with sixth nerve palsy, which caused her gaze. Millardgubler syndrome is named after two french physicians, auguste louis jules millard 18301915, who first identified the disorder in 1855, and adolphemarie gubler 18211879, who described the disease in a medical paper one year later. A case report find, read and cite all the research you.
Nc iii motor ocular comun, nc iv patetico y nc vi motor ocular externo. Hemiplejia izquierda y paralisis facial periferica derecha. The diagnosis is made on clinical grounds, and the underlying cause often requires a thorough. Em alguns casos a lesao invade a regiao medial e atinge o trajeto do vi nervo, como citou gubler em. Millard gubler syndrome is caused by a lesion in the brainstem at the level of the facial nerve nucleus. Pdf on jan 1, 2015, anas abdallah and others published millardgubler syndrome. Most frequently caused by vascular disease or tumors involving the dorsal pons. Millardgubler, protuberancia, angioma cavernoso, paralisis facialetiologia, hemiplejia etiologia decs. Millardgubler syndrome mgs is one of the classical brainstemcrossed syndromes caused due to a unilateral lesion in ventral pons. Millardgubler syndrome wikipedia republished wiki 2. The millard gubler syndrome is a manifestation of pontine infarction which affects the abducens nerve, facial nerve, and corticospinal tract in the 38 rj. Unilateral palsy of these nerves accompanied by contralateral motor weakness of the limbs is the typical clinical presentation. Millard gubler syndrome is named after two french physicians, auguste louis jules millard 18301915, who first identified the disorder in 1855, and adolphemarie gubler 18211879, who described the disease in a medical paper one year later.
Millardgubler syndrome 1 is characterized by ipsilateral facial palsy, probably owing to involvement of the root fibers, and contralateral hemiplegia resulting. This breaks from merely pronouncing and discussing and goes. Millardgubler syndrome is a rare lesion of the brainstem affecting the abducens vi and the facial vii cranial nerves, as well as the pyramidal tract. Pandya clinical eye and vaion care 7 1995 3338 ventromedial pons. That is, patient is unable to look toward the lesion. This lesion involves the facial nerve nucleus, the abducent nerve, and the corticospinal tract. The patient had not any neurological deficit after microsurgical clipping treatment till the postoperative third day. The original brainstem syndromes of millard gubler, foville, weber, and raymondcestan. Fovilles syndrome is caused by the blockage of the perforating branches of the basilar artery in the region of the brainstem known as the pons. Mgs is one of the classical crossed brainstem syndromes characterized by a unilateral lesion of basal. Millard gubler syndrome mgs, also known as facial abducens hemiplegia syndrome or the ventral pontine syndrome, is an eponym after two french physicians auguste louis jules millard and adolphemarie gubler in 1858 who first described the features of this syndrome. Millardgubler syndrome radiology reference article. Pontine infarction with pure millardgubler syndrome.