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Related Experiment Videos

Asher Lou Isenberg1, Steven Haugbøl1

  • 1Neurologisk Afdeling, Nordsjællands Hospital.

Ugeskrift for Laeger
|February 10, 2023
PubMed
Summary
This summary is machine-generated.

Sudden facial pain can indicate a pontine stroke. This case highlights a rare instance of a stroke in the pons presenting with hemiparesis and contralateral eye pain.

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Area of Science:

  • Neurology
  • Neuroscience
  • Vascular Neurology

Background:

  • Stroke affecting the pons, a part of the posterior circulation, can manifest with diverse neurological deficits.
  • Facial pain, particularly sudden onset, is an atypical yet significant symptom that warrants investigation for stroke.

Observation:

  • A 73-year-old female presented with acute right-sided hemiparesis, ataxia, gait disturbance, dysarthria, and hemisensory deficits.
  • The patient also reported a distinct symptom of burning eye pain on the contralateral side of the neurological deficits.

Findings:

  • Magnetic Resonance Imaging (MRI) confirmed acute ischemic stroke involving the left pons.
  • The clinical presentation correlated with the ischemic lesion in the pons, a critical brainstem structure.

Implications:

  • This case contributes to the understanding of rare posterior circulation stroke presentations.
  • Recognizing facial pain as a potential stroke symptom can lead to earlier diagnosis and intervention for pontine strokes.