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Research Article Open access CC BY 4.0

A Rare Neurological Sequela: Pontine Infarct Conducing to Millard-gubler Syndrome

Hema Ratna Sai Lakshmi Vemana, Nisar Ahmed, Bhagya Aruna Chikkala, Rupa Lavanya Gogulamanda, Priyanka Kandregula, Minisha Nalli, Pavan Kumar Yanamadala

International Journal of Medical and Pharmaceutical Case Reports · pp. 69–75 · Published 15 Nov 2023

10.9734/ijmpcr/2023/v16i4353

Abstract

Background: Ventral Pontine Syndrome, likewise called Millard Gubler Syndrome (MGS) or Facial abducens hemiplegia disorder is a neurodegenerative problem that is described by one-sided lesions influencing the basal piece of the caudal pons including fascicles of the abducens and the facial nerves and the pyramidal lot filaments. Clinical findings incorporate fringe Facial Nerve Paralysis and neuromuscular shortcoming or loss of motion of at least one appendage. This is an exceptionally uncommon condition assessed to influence 1 out of 10, 00, 000. Men (aged 40-60 years) are bound to foster the condition than ladies. Case Nuances: A 45-year-old male patient had intensely passed a-sided facial droop 4 days prior to presenting with weakness on the left half of his upper and lower appendages. He, along with his attender likewise referenced that he had recently had a 2-minute loss of cognizance, discombobulation, and vertical shifting of the right eye both when he lost his consciousness. He had low serum Vitamin D and was determined to have Millard Gubler Condition as an Infarct in the pontine locale was recognized in imaging, and was dealt with restoratively and with Non-intrusive treatment. Discussion: Millard-Gubler disorder might cause cerebellar ataxia if the paramedian pontine dead tissue region somewhat expands horizontally, influencing the centre cerebellar peduncles. Detached pontine localized necrosis might have decent progress whenever analyzed and overseen early. Conclusion: MGS is typically found in instances of brainstem cancers, drain, tuberculoma, parasitic contamination, Ischemic stroke secondary to impediment of the basilar supply route, and injury.

Millard gubler syndrome ipsilateral facial paralysis contralateral hemiplegia abducens nerve palsy pontine infarct

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