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Two Syndrome Progressing to Nine Syndrome.

Somarajan Anandan1, Sajeesh S Rajendran2, Jyothish P Kumar3

  • 1Consultant Neurologist, Department of Neurology, St. Joseph's Mission Hospital, Anchal, Kerala, India, Corresponding Author, Orcid: https://orcid.org/0000-0002-7449-8468.

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Summary
This summary is machine-generated.

Nine syndrome is a rare neurological disorder combining one and a half syndrome, facial palsy, and limb sensory/motor deficits. This case highlights a patient with left-sided symptoms, including left one and a half syndrome and facial palsy, alongside right hemiataxia.

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Area of Science:

  • Neurology
  • Neuro-ophthalmology

Background:

  • One and a half syndrome involves internuclear ophthalmoplegia and ipsilateral horizontal gaze palsy.
  • The spectrum of related disorders includes rare syndromes like nine syndrome.

Purpose of the Study:

  • To describe a unique case presentation of nine syndrome.
  • To detail the specific neurological deficits observed in this patient.

Main Methods:

  • Clinical case report.
  • Neurological examination findings.

Main Results:

  • The patient presented with left one and a half syndrome.
  • Associated findings included left lower motor neuron type facial palsy.
  • Contralateral (right) hemiataxia was also noted.

Conclusions:

  • This case expands the clinical understanding of nine syndrome presentations.
  • Highlights the complex interplay of brainstem and cerebellar pathways in this syndrome.