In Millard Gubler syndrome all are involved except:
Correct Answer: 5th cranial nerve
Description: 5th cranial nerve FOCAL VASCULAR SYNDROMES OF THE P REGION SYNDROME NAME VASCULAR SUPPLY ANATOMICAL STRUCTURE (S) CLINICAL FEATURE (5) Medial pontine basis Dysahriadeg hemiparesis (pure motor hemiparesis) Paramedian branches of basilar aery, ventral territory Coicospinal and coicobulbar tracts Contralateral face, arm, and leg weakness; dysahria Ataxic hemiparesisdeg Same as above Coicospinal and coicobulbar tracts Contralateral face, arm, and leg weakness; dysahria Pontine nuclei and pont ocerebellar fibers Contralateral ataxia (occa? sionally ipsilateral ataxia) Medial pontine Foville's syndromedeg Paramedian branches Coicospinal and Contralateral face, arm, and basis and tegmentum of basilar aery, ventral and dorsal territories coicobulbar tracts leg weakness; dysahria Facial colliculus Ipsilateral face weakness; ipsilateral horizontal gaze palsy Pontine wrong-waydeg Same as above Coicospinal and Contralateral face, arm, and eyes coicobulbar tracts leg weakness; dysahria Abducens nucleus or paramedian pontine reticular formation Ipsilateral horizontal gaze palsy Millard-Gublerdeg Same as above Coicospinal and Contralateral face, arm, and syndrome coicobulbar tracts, anducent fascicules, (6th N) facial fasci- cules (7th N) leg weakness; dysahria Epsilateral paresis of lateral rectus with diplopia, Epsilateral paresis of upper and lower face. Other regions(' Paramedian bran- Fascicles of facial nerve Ipsilateral face weakness variably involved ches of basilar aery, ventral and dorsal territories Medial lemniscus Contralateral decreased position and vibration sense Lateral caudal AICA syndromedeg AICA Medial longitudinal Internuclear pons fasciculus ophthalmoplegia (INO) Middle cerebellar peduncle Ipsilateral ataxia Vestibular nuclei Veigo, nystagmus Trigeminal nucleus and tract Ipsilateral facial decreased pain and temperature sense Spinothalamic tract Contralateral body decreased pain and temperature sense Descending sympathetic fibres Ipsilateral Horner's syndrome Other regionsdeg variably involved Labyrinthine aery Inner ear 1psilateral hearing loss Dorsolateral SCA syndromedeg SCA Superior cerebellar rostral pons peduncle and cerebellum Ipsilateral ataxia Other lateral tegmental structures Variable features of lateral tegmental involvemen (variable) (see AICA syndrome)
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