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We present a case of a 12-year-old boy with eight-and-a-half syndrome that consequently proved to be a sign of childhood multiple sclerosis.
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| http://dx.doi.org/10.1016/j.jaapos.2014.05.007 | DOI Listing |
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Eight-and-a-Half Syndrome Secondary to Acute Brainstem Infarction.
Cureus
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Department of Ophthalmology and Visual Science, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, MYS.
Eight-and-a-half syndrome is a rare neuro-ophthalmologic condition, which is characterized by ipsilateral horizontal gaze palsy, internuclear ophthalmoplegia (INO), and ipsilateral lower motor neuron facial palsy. We report a case of eight-and-a-half syndrome secondary to acute brainstem infarction. A 55-year-old gentleman with underlying diabetes mellitus and hypertension presented with a sudden onset of double vision in the right lateral gaze for one day.
View Article and Find Full Text PDFInternuclear ophthalmoparesis (INO) is a horizontal eye movement disorder that is associated with a lesion at the medial longitudinal fasciculus (MLF). One-and-a-half syndrome occurs when the lesion involves the MLF and the ipsilateral abducens nuclei or the paramedian pontine reticular formation (PPRF) in the dorsomedial tegmentum of the pons. When the lesion is large enough, the fascicles of the facial nerve (CNVII) can also be involved, resulting in an ipsilateral facial nerve palsy.
View Article and Find Full Text PDFHemorrhagic Eight-and-a-half Syndrome.
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Case report: Lateral medullary syndrome with eight-and-a-half syndromes.
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Neurological Intensive Care Unit, Hebei General Hospital, Shijiazhuang, China.
Rationale: Lateral medullary syndrome is caused by atherosclerosis or embolism of the vertebral artery and its branches or the posterior inferior cerebellar artery (PICA).The eight-and-a-half syndrome is a rare pontocerebellar nerve-ocular syndrome presenting as a one-and-a-half syndrome plus ipsilateral seventh cerebral nerve palsy. The dorsolateral medullary syndrome combined with the eight-and-a-half syndromes is even rarer, so it is important to recognize the features of the classical brainstem syndrome and the eight-and-a-half syndromes.
View Article and Find Full Text PDFEight-and-a-half syndrome in a patient with hypertensive emergencies.
J Hypertens
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Trihealth Good Samaritan Hospital, Cincinnati, Ohio, USA.
An 88-year-old white female was admitted with a hypertensive emergency and a sudden onset of abnormal extraocular movements and facial (cranial nerve VII) palsy. This article presents a case of the eight-and-a-half syndrome and discusses its underlying clinicopathology, including a review of the neuroanatomy related to the lesion causing the eight-and-a-half syndrome in this patient.
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