AJNN
Academic Journal of Neurology and Neurosurgery

The Academic Journal of Neurology and Neurosurgery deals with Neurology and Neurosurgery accepts articles on these topics. Academic Journal of Neurology and Neurosurgery publishes original research articles, review articles, case reports, editorial commentaries, letters to the editor, educational articles, and conference/meeting announcements.

eISSN: 3023-6517
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Online Manuscript System

Index
Case Report
Isolated eight-and-a-half syndrome associated with pontin hemorrhage: a rare clinical presentation with topological significance
Abstract
The eight-and-a-half syndrome is a critical clinical condition defined by peripheral facial palsy and the ocular symptoms mostly linked to ischemic cerebrovascular disease affecting the pontin tegmentum. We present a case of isolated eight-and-a-half syndrome with a pontine hemorrhage and discuss it’s topological implications in context of neurological practice. This is the one of few cases presenting with eight-and-a-half syndrome following the pontine hemorrhage. Despite showing similar clinical features and clinical prognosis the our case is intriguing due to its unique topological anatomy demonstrating an initial improvement in ocular symptoms.

Keywords : Pontin hemorrhage, opthalmoplegia, eight-and-a-half syndrome

Download Article


1. Eggenberger E. Eight-and-a-half syndrome: one-and-a-half syndrome pluscranial nerve VII palsy. J Neuroophthalmol. 1998;18(2):114-116.
2. Utku U, Celik Y, Balci K. Bilaterally persistent horizontal gaze palsy andfacial palsy caused by pontine infarction. J Stroke Cerebrovascular Dis.2001;10(5):242-243.
3. Felicio AC, Bichuetti DB, Marin LF, dos Santos WA, Godeiro-Junior C.Bilateral horizonta gaze palsy with unilateral peripheral facial paralysiscaused by pontine tegmentum infarction. J National Stroke Assoc.2009;18(3):244-246.
4. Lim XY, Wai YZ, Yong YX, Lim LT. Eight-and-a-half syndrome as the firstpresentation of multiple sclerosis in an Asian male: a case report. J MedCase Rep. 2023;17(1):99.
5. Marquart C, Strauss C, Alfieri A. Eight-and-a-half syndrome combinedwith an ipsilateral vertical gaze palsy: a pathophysiological explanation.Clin Neurol Neurosurg. 2013;115(6):767-776.
6. Kataoka S, Hori A, Shirakawa T, Hirose G. Paramedian pontine infarction:neurological/topographical correlation. Stroke. 1997;28(4):809-815.
7. Johkura K, Komiyama A, Kuroiwa Y. Eye deviation in patients withoneand-a-half syndrome. Eur Neurol. 2000;44(4):210-215.
8. Yadegari S, Aghsaei-Fard M, Akbari M, Mirmohammad-Sadeghi A. “Eightand a half” and “nine syndrome” rare presentation of pontine lesions; casereports and review of literature. Iran J Neurol. 2018;17(4):189-191.
9. Xie WJ, Yu HQ, Wang YH, Liu Q, Meng HM. A case report of eight and ahalf syndrome. Neurol Sci. 2016;37(5):821-822.
10. Van Toorn R, Schoeman JF, Donald PR. Brainstem tuberculoma presentingas eight-and-a-half syndrome. Eur J Paediatr Neurol. 2006;10(1):41-44.
Article available in :
Volume 1, Issue 1, 2024
Page : 17-19
https://doi.org/10.51271/AJNN-0005
Article Information
Received : 12 Oca 2024
Accepted : 29 Oca 2024
Published : 31 Oca 2024
Corresponding Author :

Ece Özdemir Öktem: Department of Neurology, Faculty of Medicine, Alanya Alaaddin Keykubat University, Antalya, Turkiye

[email protected]
Citation : Özdemir Öktem E, Türk O, Çankaya Ş, Özşimşek A, Sayman C, Yuluğ B. Isolated eight-and-a-half syndrome associated with pontin hemorrhage: a rare clinical presentation with topological significance. Acad J Neurol Neurosurg. 2024;1(1):17-19.

Read: 249
Cited: 0
Download : 96
_Footer