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["One and a half syndrome" caused by lateral pontine haemorrhage].

Zidverc Jj, D Jovanović, Kovacević Ms, Beslać-Bumbaserević Lj

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Abstract

"One and a half syndrome" is an internuclear ophthalmoplegia combined with lateral gaze palsy on the same side. It is caused by ipsilateral lesion of the caudal part of pontine dorsal tegmentum - medial longitudinal fasciculus and paramedian pontine reticular formation or/and abducens nucleus. Usually it is of vascular origin and it can be a sign of lateral pontine haemorrhage. We described a patient with "one and a half syndrome" caused by spontaneous hypertensive hemorrhage in the lateral pontine legmentum which was visualised by brain CT scanning.

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What this paper is about

"One and a half syndrome" is an internuclear ophthalmoplegia combined with lateral gaze palsy on the same side. It is caused by ipsilateral lesion of the caudal part of pontine dorsal tegmentum - medial longitudinal fasciculus and paramedian pontine reticular formation or/and abducens nucleus. Usually it is of vascular origin and it can be a sign of lateral pontine haemorrhage. We described a patient with "one and a half syndrome" caused by spontaneous hypertensive hemorrhage in the lateral pontine legmentum which was visualised by brain CT scanning.

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Available abstract

"One and a half syndrome" is an internuclear ophthalmoplegia combined with lateral gaze palsy on the same side. It is caused by ipsilateral lesion of the caudal part of pontine dorsal tegmentum - medial longitudinal fasciculus and paramedian pontine reticular formation or/and abducens nucleus. Usually it is of vascular origin and it can be a sign of lateral pontine haemorrhage. We described a patient with "one and a half syndrome" caused by spontaneous hypertensive hemorrhage in the lateral pontine legmentum which was visualised by brain CT scanning.

Key concepts: Paramedian pontine reticular formation, Medial longitudinal fasciculus, Internuclear ophthalmoplegia, Medicine, Abducens nucleus, Tegmentum, Anatomy, Pons

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