Foville Syndrome
| Classification according to ICD-10 | |
|---|---|
| G46.3 | Brainstem Syndrome - Foville Syndrome |
| ICD-10 online (WHO version 2019) | |
The Foville syndrome occurs when damage to the brain stem as alternating brainstem and is also known as syndrome of caudal bridge foot defined palsy, facial palsy and crossed hemiparesis.
Synonyms are: foville paralysis; Foville bridge syndrome; Caudal bridge hood syndrome; Latin: Hemiplegia abducento-facialis alternans; Hemiplegia alternans inferior pontina
The name refers to the first author of the first description from 1859 by the French neurologist and psychiatrist Achille-Louis-François Foville (1799–1878).
The syndrome should not be confused with Millard-Gubler syndrome .
root cause
The disease is based on a lesion in the foot of the bridge ( pars basilaris pontis ) , often tumors or circulatory disorders in the area of the basilar artery or its flow area.
Clinical manifestations
Clinical criteria of the actual Foville syndrome are:
- Ipsilateral peripheral facial palsy
- Ipsilateral palsy of the abdomen
- Contralateral hemiparesis with hemianesthesia
These are to be separated conceptually
- Foville bridge syndrome without facial nerve palsy, English Foville's syndrome II; Foville's pontine syndrome
- die Foville Parese , English Foville’s syndrome I; Foville's peduncular syndrome; Foville's paralysis
- Upper foville-thigh syndrome with ipsilateral oculomotor palsy , contralateral facial palsy , and crossed limb palsy
- Lower foville-thigh syndrome with ipsilateral facial palsy and oculomotor palsy and crossed limb palsy
literature
- C. Canepa Raggio, A. Dasgupta: Three cases of Spontaneous Vertebral Artery Dissection (SVAD), resulting in two cases of Wallenberg syndrome and one case of Foville syndrome in young, healthy men. In: BMJ Case Reports. Vol. 2014, 2014, S., doi: 10.1136 / bcr-2014-203945 , PMID 24777086 .
- H.-C. Cheng, M.-Y. Yen, A.-G. Wang Foville's syndrome with ipsilateral internuclear ophthalmoplegia due to spontaneous pontine hemorrhage In Taiwan Journal of Ophthalmology , Vol. 3, No. 2, June 2013, pp. 75-77
- I. Hubloue, S. Laureys, A. Michotte: A rare case of diplopia: medial inferior pontine syndrome or Foville's syndrome. In: European journal of emergency medicine: official journal of the European Society for Emergency Medicine. Vol. 3, No. 3, September 1996, pp. 194-198, PMID 9023501 .
Individual evidence
- ↑ a b c Bernfried Leiber (founder): The clinical syndromes. Syndromes, sequences and symptom complexes . Ed .: G. Burg, J. Kunze, D. Pongratz, PG Scheurlen, A. Schinzel, J. Spranger. 7., completely reworked. Edition. tape 2 : symptoms . Urban & Schwarzenberg, Munich et al. 1990, ISBN 3-541-01727-9 .
- ↑ D. Schmidt: The classic brain stem syndromes. In: The ophthalmologist. 97, 2000, pp. 411-417, doi: 10.1007 / s003470070090 .
- ^ A b Who named it Foville
- ↑ ALF Foville: Note sur une paralysie peu connue de certains muscles de l'oeil, et sa liaison avec quelques points de l'anatomie de la physiologie de la protubérance annulaire. In: Gazette hebdomadaire de médecine et de chirurgie Vol. 6, 1859, p. 146.
- ↑ Strokecenter
