Ventral pontine syndrome (Millard Gubler syndrome)

What is the ventral pontine syndrome (Millard Gubler syndrome)? 

The ventral pontine syndrome is caused by paramedian infarction of the pons and results in the following signs:

  • Ipsilateral paresis of the lateral rectus (damage to cranial nerve VI) with diplopia
  • Ipsilateral paresis of the upper and lower face (damage to cranial nerve VII)
  • Contralateral hemiplegia (damage to corticospinal tract) with sparing of the face

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