Pontine infarction producing dysarthria-clumsy hand syndrome and ataxic hemiparesis

We describe two patients, one with clumsy hand-dysarthria syndrome and one with ataxic hemiparesis. Both had pontine lesions on CT. Similar clinical syndromes may be seen with lesions of the internal capsule, and it is not possible to predict the lesion's location from clinical information alone. The clinical picture of dysarthria-clumsy hand syndrome or ataxic hemiparesis is also not specific for lacunar infarction.