Foville syndrome due to peripontine infarction: A case report

Abstract

Introduction. Stroke is the most common cause of mortality and morbidity. Pontine infarction leads to an ischemic stroke in pontine. Variability of its clinical presentation depends on the location of infarct. One of them is Foville syndrome, which features contralateral motor hemiparesis or hemiplegia, ipsilateral cranial nerve palsy, and facial palsy. There were few cases reported especially in Indonesia. We report a case of an elderly female with Foville syndrome due to stroke in Peripontine caused by infarction. Case presentation. A 63-years-old female presented with acute vertigo, sudden deafness, slurred speech, and hemiparesis on the right side of her body. The onset was 14 hours before hospital admission. The patient had a history of poor controlled diabetes and hypertension. The results of the neurological examination showed left facial nerve weakness, facial numbness, peripheral deafness in the left ear, and right-side weakness of body. Radiological examination of the Head CT-scan showed lesions in the left paramedian pontine region, bilateral cerebellum and multiple lacunar infarction. Patient was given dual antiplatelet therapy, and vascular risk factor medication. Pasien was discharged after 8 days under treatment with minor disability. Conclusion. We report a rare case of Foville syndrome due to pontine infarction. Clinical signs and symptoms correlate well with anatomic involvement. The treatments depend on the etiologies and risk factors.