Department of Neurology and Suzhou Clinical Research Center of Neurological Disease, The Second Affiliated Hospital of Soochow University, 1055 Sanxiang Road, Suzhou, 215000, China.
BMC Neurol. 2021 Dec 20;21(1):492. doi: 10.1186/s12883-021-02524-x.
Bilateral facial colliculus syndrome is a rare clinical presentation in patient with pontine infarction. We herein described a case of bilateral facial paralysis and complete horizontal gaze palsy possibly caused by paradoxical embolization from patent foramen ovale related stroke.
A 55-year-old male presented with sudden onset of complete peripheral facial palsy and horizontal gaze palsy after Valsava maneuver. MRI revealed symmetric involvement of bilateral pontine tegmentum in accordance with the location of facial colliculus. CSF analysis and follow-up MRI showed no evidence of central demyelinating disease. Subsequent echocardiography revealed patent foramen ovale and closure surgery was performed.
Facial colliculus syndrome with symmetric dorsal pontine tegmentum involvement may a rare manifestation in posterior circulation stroke.
双侧面丘综合征是桥脑梗死患者罕见的临床表现。我们在此描述了一例可能由于卵圆孔未闭相关卒中反常栓塞引起的双侧面瘫和完全水平凝视麻痹。
一名 55 岁男性，在瓦尔萨尔瓦动作后突发完全周围性面瘫和水平凝视麻痹。MRI 显示双侧桥脑被盖的面丘部位对称受累。CSF 分析和随访 MRI 均未见中枢脱髓鞘疾病证据。随后的超声心动图显示卵圆孔未闭，并进行了封堵手术。
伴有双侧背侧桥脑被盖受累的面丘综合征可能是后循环卒中的一种罕见表现。
