An atypical pontine infarction presenting with segmental sensory disturbance and uncrossed sensory symptomatology: case report.
Clinical research
Nervous system
Neurology
Neuroscience
Pontine infarction
Public health
Segmental sensory disturbance
Uncrossed sensory symptomatology
Journal
Heliyon
ISSN: 2405-8440
Titre abrégé: Heliyon
Pays: England
ID NLM: 101672560
Informations de publication
Date de publication:
May 2020
May 2020
Historique:
received:
24
02
2020
revised:
07
04
2020
accepted:
21
05
2020
entrez:
4
6
2020
pubmed:
4
6
2020
medline:
4
6
2020
Statut:
epublish
Résumé
We reported a patient who presented with analgesia and thermanaesthesia from the face to T4 dermatome on the contralateral side to the lesion due to infarction of the dorsal tegmentum of the caudal pons, which was inconsistent with classical dorsolateral pontine infarction. We speculated that the lesion affected the trigeminothalamic tract deriving from the second-order neurons on the contralateral side and partial lateral spinothalamic tracts carrying pain and temperature sensation above T4 dermatome, while the spinal trigeminal tract and its nucleus on the ipsilateral side and other parts of lateral spinothalamic tracts were spared. This case showed the atypical presentations of dorsolateral pontine infarction and may provide clinicians with new diagnostic ideas.
Identifiants
pubmed: 32490254
doi: 10.1016/j.heliyon.2020.e04072
pii: S2405-8440(20)30916-6
pii: e04072
pmc: PMC7260285
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e04072Informations de copyright
© 2020 The Author(s).
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