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Open AccessArticle10.1212/wnl.54.6.1217

Emotional facial paresis of pontine origin

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H.C. Hopf, MD, C. Fitzek, MD, J. Marx, MD, P.P. Urban, MD, F. Thomke, MD, Mainz, Germany A 63-year-old patient noticed sudden ataxic stance and gait dysarthria. Transitory symptoms were vertigo, nausea, and horizontal diplopia. Examination showed central Horner’s syndrome, impaired sweating of the face, hemiataxia, and moderate positional tremor on the right and facial paresis with emotional innervation only (figure, A and B) and impaired …

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H.C. Hopf, MD, C. Fitzek, MD, J. Marx, MD, P.P. Urban, MD, F. Thomke, MD, Mainz, Germany A 63-year-old patient noticed sudden ataxic stance and gait dysarthria. Transitory symptoms were vertigo, nausea, and horizontal diplopia. Examination showed central Horner’s syndrome, impaired sweating of the face, hemiataxia, and moderate positional tremor on the right and facial paresis with emotional innervation only (figure, A and B) and impaired …

Keywords

DysarthriaParesisDiplopiaMedicineVertigoNauseaPsychologyInternuclear ophthalmoplegia

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