Karadan Ummer, Supreeth Ramesh N, Manappallil Robin George, Jayakrishnan Chellenton
Baby Memorial Hospital, Calicut, Kerala 673004, India.
Baby Memorial Hospital, Calicut, Kerala 673004, India.
J Stroke Cerebrovasc Dis. 2018 May;27(5):e73-e74. doi: 10.1016/j.jstrokecerebrovasdis.2017.12.007. Epub 2018 Jan 8.
Pontine hemorrhages are relatively uncommon. Various atypical manifestations of pontine stroke like eight-and-a-half syndrome, fifteen-and-a-half syndrome, and sixteen syndrome have been described in the past. We came across a case of pontine bleed that presented with bilateral facial palsy, bilateral horizontal gaze palsy, and contralateral sensorineural hearing loss accounting to the hitherto not described "twenty-four syndrome" with Horner's syndrome and left hemiparesis.