Department of Neurology, First Affiliated Hospital, China Medical University, No.155, North Nanjing Street, 110001, Shenyang, China.
Neurol Sci. 2012 Dec;33(6):1419-21. doi: 10.1007/s10072-012-0966-4. Epub 2012 Feb 4.
Wernekink commissure syndrome is a rare midbrain syndrome, which selectively destroys the Wernekink commissure involving the decussation of superior cerebellar peduncle in midbrain. This syndrome may display a clinical picture: bilateral cerebellar ataxia, eye movement disorders, and palatal tremor. We present two cases of the Wernekink commissure syndrome with acute onset of bilateral cerebellar dysfunction confirmed by magnetic resonance imaging. One patient presented internuclear ophthalmoplegia, but neither showed palatal tremor. It is notable that the bilateral cerebellar dysfunction may be ascribed to midbrain lesion involving the Wernekink commissure, and it may be the sole manifestation of the midbrain lesion.
韦内肯 commissure 综合征是一种罕见的中脑综合征，选择性地破坏韦内肯 commissure，涉及中脑内上小脑脚的交叉。该综合征可能表现为以下临床特征：双侧小脑共济失调、眼球运动障碍和腭震颤。我们报告了两例韦内肯 commissure 综合征，均为双侧小脑功能障碍急性发作，磁共振成像证实。其中 1 例患者表现为核间性眼肌麻痹，但均无腭震颤。值得注意的是，双侧小脑功能障碍可能归因于中脑病变累及韦内肯 commissure，也可能是中脑病变的唯一表现。
