Salazar WE, Vargas BFJ

Language: Spanish
References: 9
Page: 189-192
PDF size: 147.63 Kb.

ABSTRACT

The one and a half syndrome uncommon. It may be caused by an occlusive thrombus in a single branch of the basilar artery, which produces an ischemic pontine infarction involving the para-median pontine reticular formation, the medial longitudinal fascicles, and the sixth nerve nuclei. It may be also the result of demyelinating disease, multiple sclerosis, hemorrhage, and myasthenia gravis. Clinically, this syndrome is characterized by conjugate gaze palsy and impaired adduction on looking at the other side of lesion. Because one and a half syndrome may be a predictor of the subsequent neurologic lesions, the physician should keep it in mind, in order to achieve early diagnosis and treatment.

REFERENCES

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