“Sixteen and a half”: a rare neurological syndrome
Journal Title: Internet Journal of Medical Update - Year 2012, Vol 7, Issue 2
Abstract
"Sixteen and a half" syndrome is a recently coined terminology for a novel pontine neuro-ophthalmological condition. It is characterised by "one and a half" syndrome with an additional ipsilateral seventh and eighth cranial nerve palsy (1½+7+8=16½). We hereby present a case with "sixteen and a half" syndrome, characterised by facial asymmetry, conjugate gaze palsy and unilateral deafness with vertigo. As demonstrated by magnetic resonance imaging, the responsible pontine lesion was a brainstem tuberculoma involving the ipsilateral abducens nucleus and the adjacent medial longitudinal fasciculus (MLF), along with facial and vestibulocochlear nerve. The location of the tuberculoma and the clinical presentation is unusual.
Authors and Affiliations
Raminder Singh, Vaibhav Chewoolkar, Chetan Chaudhari
Keywords
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