Millard-Gubler Syndrome
| Classification according to ICD-10 | |
|---|---|
| G46.3 | Brainstem Syndrome - Millard-Gubler Syndrome |
| ICD-10 online (WHO version 2019) | |
The Millard Gubler syndrome occurs in damage to the brain stem as alternating brainstem lesion , and is also referred to as sequence of the caudal bridge foot defined.
Synonyms are: Millard syndrome; Gubler Syndrome; Gubler's palsy; Latin: Hemiplegia cruciata abducentis inferior ; Raymond-Foville Syndrome, Abduzens-Facialis Syndrome
It was first described in 1856 by the French doctors Auguste Louis Jules Millard (1830-1915) and Adolphe Marie Gubler (1821-1897).
The syndrome is not to be confused with Foville syndrome .
root cause
The disease is based on a lesion in the foot of the bridge ( pars basilaris pontis ) .
A circulatory disorder , e.g. B. by a stroke , leads in the caudal part of the pons to damage to the nucleus nervi facialis , the nucleus nervi abducentis and the pyramidal tract .
Diagnostic criteria
Clinical criteria are:
- Ipsilateral peripheral facial palsy
- Ipsilateral palsy of the abdomen
- Contralateral hemiparesis with spasticity
literature
- O. Onbas, M. Kantarci, F. Alper, L. Karaca, A. Okur: Millard-Gubler syndrome: MR findings. In: Neuroradiology. Vol. 47, No. 1, January 2005, pp. 35-37, doi: 10.1007 / s00234-004-1312-1 , PMID 15647948 .
- M. Krasnianski, S. Neudecker, S. Zierz: Classical alternating syndromes of the bridge. In: Advances in neurological psychiatry. Vol. 72, No. 8, August 2004, pp. 460-468, doi: 10.1055 / s-2004-818392 , PMID 15305240 .
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 .
- ↑ Entry on Millard-Gubler Syndrome in Flexikon , a Wiki of the DocCheck company
