Gasperini syndrome as clinical manifestation of pontine demyelination.

Abstract:

:The Gasperini syndrome is a very rare brainstem disease characterized by the typical combination of ipsilateral lesions of the cranial nerves V-VII and dissociated contralateral hemihypesthesia, whereas both contralateral and ipsilateral hypacusis was described. Since the first description in 1912, only a few cases of this crossed brainstem syndrome were published so far. Pontine infarction and bleedings were the reported causes of the syndrome. Here we report a 44-year-old man with the classical Gasperini syndrome due to pontine demyelination in multiple sclerosis. The clinical findings were correlated with changes on MRI. The present case shows that classical crossed brainstem syndromes are topological terms not invariably associated with brainstem ischemia in particular vascular areas and may contribute to the differential diagnosis of peripheral facial nerve palsy.

journal_name

Eur J Med Res

authors

Krasnianski M,Müller T,Zierz S,Winterholler M

doi

10.1186/2047-783x-14-9-413

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

413-4

issue

9

eissn

0949-2321

issn

2047-783X

journal_volume

14

pub_type

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