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[Classical crossed pontine syndromes].

M Krasnianski1, S Neudecker, S Zierz

  • 1Klinik und Poliklinik für Neurologie der Martin-Luther-Universität Halle-Wittenberg. sekretariat.neurologie@medizin.uni-halle.de

Fortschritte Der Neurologie-Psychiatrie
|August 12, 2004
PubMed
Summary

Neurological literature often misdefines classical crossed brainstem syndromes, leading to confusion. This review clarifies historical descriptions of pontine syndromes, correcting inaccuracies and highlighting forgotten eponyms.

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Area of Science:

  • Neurology
  • Neuroanatomy
  • Medical History

Context:

  • Classical crossed brainstem syndromes lack consistent definitions in current neurological literature.
  • Eponyms are frequently misapplied, causing confusion between distinct clinical entities.
  • Historical accounts of specific syndromes are often overlooked or misinterpreted.

Purpose:

  • To critically analyze original historical publications of classical alternating pontine syndromes.
  • To clarify the anatomical basis, etiology, and key publications for each syndrome.
  • To address inconsistencies and inaccuracies in modern neurological literature regarding these syndromes.

Summary:

  • Reviews Foville, Millard-Gubler, Raymond, Raymond-Cestan, and Brissaud-Sicard syndromes, confirming their essential historical descriptions.

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  • Notes frequent confusion between Foville and Millard-Gubler crossed syndromes.
  • Questions the validity of syndromes attributed to Gasperini, Grenet, and Gelle, as they were not described by the original authors.

    • Impact:

    • Provides accurate historical context for classical crossed brainstem syndromes.
    • Aims to standardize terminology and reduce diagnostic errors in neurology.
    • Re-evaluates the existence and attribution of specific pontine syndromes, enhancing clinical understanding.