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Table 1 Clinico-radiologic characteristics of 10 cases

From: Patterns of pontine strokes mimicking Bell’s palsy

No

S/A

Chief complaint

Neurological exam

Lesion location

Mechanism

A-1

M/58

Dizziness, unsteady gait, dysarthria

Left facial palsy, left limb ataxia

Left middle cerebellar peduncle, bilateral cerebellar hemispheres, bilateral occipital lobes

Large-artery atherosclerosis

A-2

M/51

Dizziness, transient left side weakness

Left facial palsy, GEN, no objective motor weakness

Left pontomedullary junction, left cerebellar hemisphere, left occipital lobe

Large-artery atherosclerosis

A-3

M/57

Left tinnitus, left hearing loss, unsteady gait

Left facial palsy, left limb ataxia, left positive HIT, left SNHL

Left superior cerebellar peduncle

Large-artery atherosclerosis

A-4

M/68

Dizziness

Right facial palsy, GEN

From right pontine tegmentum to pontomedullary junction

Large-artery atherosclerosis

A-5

M/74

Dizziness, diplopia

Right facial palsy, no objective EOM limit

Right basis pontis, right pontine tegmentum

Large-artery atherosclerosis

B-1

M/46

Dizziness, diplopia

Right eight-and-a-half syndrome [7]

Right pontine tegmentum

Small vessel occlusion

B-2

M/55

Dizziness, dysarthria

Sixteen syndrome [8]

Midline pontine tegmentum

Small vessel occlusion

B-3

M/62

Dizziness, diplopia

Left eight-and-a-half syndrome [7]

Left pontine tegmentum

Small vessel occlusion

C-1

M/49

Dizziness, diplopia, unsteady gait, left tinnitus, left hearing loss

Left facial palsy, left limb ataxia, left SNHL, Brun’s nystagmus

Left middle cerebellar peduncle

Hemorrhagic

C-2

M/40

Neck pain, diplopia

Left facial palsy, left horizontal gaze palsy

Midline pontine tegmentum

Hemorrhagic

  1. Abbreviations: S/A sex/age, M male, GEN gaze evoked nystagmus, HIT head impulse test, SNHL sensorineural hearing loss, EOM extraocular movement