Document Detail

Pontine hemorrhage causing Fisher one-and-a-half syndrome with facial paralysis.
MedLine Citation:
PMID:  6226696     Owner:  NLM     Status:  MEDLINE    
The case of a 58-year-old white man with a history of high blood pressure and chronic obstructive pulmonary disease who developed double vision followed by right-sided facial paralysis is reported. A computerized axial tomogram (CT) scan showed an enhancing lesion in the pontine tegmentum, and the diagnoses of pontine glioma or hemorrhage were considered. Physical findings were limited to the cranial nerves. Conservative management with Decadron for 3 weeks resulted in a prompt clinical improvement, and a CT scan 1 month later showed resolution of the lesion, effectively ruling out a glioma. Total clinical recovery occurred at the end of 6 months. To our knowledge this is the first report of a case of Fisher one-and-a-half syndrome with facial paralysis correlated with computed tomography.
K J Oommen; M S Smith; E L Labadie
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical neuro-ophthalmology     Volume:  2     ISSN:  0272-846X     ISO Abbreviation:  J Clin Neuroophthalmol     Publication Date:  1982 Jun 
Date Detail:
Created Date:  1983-12-20     Completed Date:  1983-12-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8109051     Medline TA:  J Clin Neuroophthalmol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  129-32     Citation Subset:  IM    
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MeSH Terms
Brain Neoplasms / diagnosis
Cerebral Hemorrhage / diagnosis*,  drug therapy
Dexamethasone / analogs & derivatives,  therapeutic use
Diagnosis, Differential
Diplopia / etiology*
Facial Paralysis / etiology*
Glioma / diagnosis
Middle Aged
Tomography, X-Ray Computed
Reg. No./Substance:
312-93-6/dexamethasone 21-phosphate; 50-02-2/Dexamethasone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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