Lower dorsal pontine syndrome (Fovilles syndrome)

What is the lower dorsal pontine syndrome (Fovilles syndrome)? 

Lower dorsal pontine syndrome is caused by lesions in the dorsal tegmentum of the lower pons, resulting in the following signs:

  • Ipsilateral paresis of the whole face (damage to nucleus and fibers of VII)
  • Ipsilateral horizontal gaze palsy (damage to paramedian pontine reticular formation and/or VI nucleus)
  • Contralateral hemiplegia (damage to corticospinal tract) with sparing of the face

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