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Case Reports
. 2023 Feb 11;15(2):e34869.
doi: 10.7759/cureus.34869. eCollection 2023 Feb.

Pontine Infarct Resulting in Millard-Gubler Syndrome: A Case Report

Shivangi Patel  1 , Ashika Bhakta  1 , Joshua Wortsman  2 , Barun B Aryal  2 , Dhan B Shrestha  3 , Tilak Joshi  2
Affiliations
Case Reports

Pontine Infarct Resulting in Millard-Gubler Syndrome: A Case Report

Shivangi Patel et al. Cureus. .

Abstract

Millard-Gubler syndrome is a crossed brainstem syndrome involving the facial nerve, abducens nerve, and the pyramidal tracts, typically resulting in ipsilateral facial weakness and contralateral hemiparesis. Here we report the case of a 76-year-old female with no pertinent past medical history who presented to the emergency department with acute left-sided facial droop and right upper extremity sensory loss. A pontine infarction was identified on imaging and she was managed medically with complete recovery. Pontine infarction can result in Millard-Gubler syndrome and present with facial weakness and subtle contralateral limb symptoms.

Keywords: case report; facial nerve palsy; hemiparesis; millard-gubler syndrome; pontine infarct.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. MRI brain showing small left dorsal brainstem infarct at the pontomedullary junction (white arrow)
See this image and copyright information in PMC

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