Nine syndrome: Case report and review of clinical signs in internuclear ophthalmoplegia
The pathologic involvement of brainstem and midbrain nuclei and white matter tracts in various combinations may result in a spectrum of arithmetically derived syndromes. They include ‘one and a half syndrome’, ‘eight and a half syndrome’ and ‘fifteen and a half syndrome’. We report a case of ‘nine s...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Annals of Indian Academy of Neurology |
| Subjects: | |
| Online Access: | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2018;volume=21;issue=4;spage=325;epage=327;aulast=Singhdev |
| _version_ | 1819060284276342784 |
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| author | Jennifer Singhdev Ajay Asranna Sachin Sureshbabu Gaurav Kumar Mittal Sweta Singla Sudhir Peter Sobhana Chindripu |
| author_facet | Jennifer Singhdev Ajay Asranna Sachin Sureshbabu Gaurav Kumar Mittal Sweta Singla Sudhir Peter Sobhana Chindripu |
| author_sort | Jennifer Singhdev |
| collection | DOAJ |
| description | The pathologic involvement of brainstem and midbrain nuclei and white matter tracts in various combinations may result in a spectrum of arithmetically derived syndromes. They include ‘one and a half syndrome’, ‘eight and a half syndrome’ and ‘fifteen and a half syndrome’. We report a case of ‘nine syndrome’, which has been reported more recently, caused by caused by acute pontine infarcts and characterised clinically by a combination of internuclear ophthalmolplegia, ipsilateral horizontal gaze palsy, lower motor neuron type of facial palsy, contralateral hemiparesis and hemianesthesia. We highlight the genesis of this combination of clinical signs , revisit the different variants of INO and review the literature on ‘Nine syndrome’. |
| first_indexed | 2024-12-21T14:24:33Z |
| format | Article |
| id | doaj.art-def5cab7b07948be8652d9526a0134fb |
| institution | Directory Open Access Journal |
| issn | 0972-2327 1998-3549 |
| language | English |
| last_indexed | 2024-12-21T14:24:33Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Indian Academy of Neurology |
| spelling | doaj.art-def5cab7b07948be8652d9526a0134fb2022-12-21T19:00:42ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492018-01-0121432532710.4103/aian.AIAN_118_18Nine syndrome: Case report and review of clinical signs in internuclear ophthalmoplegiaJennifer SinghdevAjay AsrannaSachin SureshbabuGaurav Kumar MittalSweta SinglaSudhir PeterSobhana ChindripuThe pathologic involvement of brainstem and midbrain nuclei and white matter tracts in various combinations may result in a spectrum of arithmetically derived syndromes. They include ‘one and a half syndrome’, ‘eight and a half syndrome’ and ‘fifteen and a half syndrome’. We report a case of ‘nine syndrome’, which has been reported more recently, caused by caused by acute pontine infarcts and characterised clinically by a combination of internuclear ophthalmolplegia, ipsilateral horizontal gaze palsy, lower motor neuron type of facial palsy, contralateral hemiparesis and hemianesthesia. We highlight the genesis of this combination of clinical signs , revisit the different variants of INO and review the literature on ‘Nine syndrome’.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2018;volume=21;issue=4;spage=325;epage=327;aulast=SinghdevBrainstem syndromesinternuclear ophthalmoplegianine syndromepontine vascular syndromes |
| spellingShingle | Jennifer Singhdev Ajay Asranna Sachin Sureshbabu Gaurav Kumar Mittal Sweta Singla Sudhir Peter Sobhana Chindripu Nine syndrome: Case report and review of clinical signs in internuclear ophthalmoplegia Annals of Indian Academy of Neurology Brainstem syndromes internuclear ophthalmoplegia nine syndrome pontine vascular syndromes |
| title | Nine syndrome: Case report and review of clinical signs in internuclear ophthalmoplegia |
| title_full | Nine syndrome: Case report and review of clinical signs in internuclear ophthalmoplegia |
| title_fullStr | Nine syndrome: Case report and review of clinical signs in internuclear ophthalmoplegia |
| title_full_unstemmed | Nine syndrome: Case report and review of clinical signs in internuclear ophthalmoplegia |
| title_short | Nine syndrome: Case report and review of clinical signs in internuclear ophthalmoplegia |
| title_sort | nine syndrome case report and review of clinical signs in internuclear ophthalmoplegia |
| topic | Brainstem syndromes internuclear ophthalmoplegia nine syndrome pontine vascular syndromes |
| url | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2018;volume=21;issue=4;spage=325;epage=327;aulast=Singhdev |
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