Millard-Gubler syndrome

Millard-Gubler syndrome
Millard-Gubler syndrome
Classification and external resources

Pons
ICD-10 G46.3
ICD-9 344.89
eMedicine pmr/189

Millard-Gubler syndrome is a lesion of the pons.[1]

Contents

Presentation

Symptoms result from the functional loss of several anatomical structures of the pons, including the sixth and seventh cranial nerves and fibers of the corticospinal tract. Paralysis of the abducens (CN VI) leads to diplopia, internal strabismus, and loss of power to rotate the affected eye outward), and disruption of the facial nerves (CN VII) leads to symptoms including flaccid paralysis of the muscles of facial expression and loss of the corneal reflex. Disruption of the corticospinal tract leads to contralateral hemiplegia of the extremities.

It is a form of "crossed hemiplegia," as the paralysis of muscles controlled by the facial nerve occurs on the same side as the lesion, while the hemiplagia of muscles below the neck occurs on the opposite side as the lesion.

Diagnosis

This syndrome is easier to diagnose today thanks to the technical advances in brain imaging (CT, MRI).

Eponym

Millard-Gubler syndrome is named after two French physicians, Auguste Louis Jules Millard (1830-1915), who first identified the disorder in 1855, and Adolphe-Marie Gubler (1821-1879), who described the disease in a medical paper one year later.

See also

References

External links


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Look at other dictionaries:

  • Millard-Gubler syndrome — crossed paralysis, affecting the limbs on one side of the body and the face on the opposite side, together with paralysis of outward movement of the eye; it is due to infarction of the pons, involving the sixth and seventh cranial nerves and the… …   Medical dictionary

  • Millard-Gubler syndrome (paralysis) — Mil·lard Gub·ler syndrome (paralysis) (me yahrґ goo blaґ) [Auguste L.J. Millard, French physician, 1830–1915; Adolphe Marie Gubler, French physician, 1821–1879] see under syndrome …   Medical dictionary

  • Millard gubler — Syndrome de Millard Gubler Le syndrome de Millard Gubler est un syndrome alterne associant une hémiplégie controlatérale et une paralysie du VI et/ou du VII homolatérale à une lésion du tronc cérébral située dans la région protubérantielle… …   Wikipédia en Français

  • Syndrome de Millard-Gubler — Le syndrome de Millard Gubler, décrit par Adolphe Marie Gubler et Auguste Louis Jules Millard, est un syndrome alterne associant une paralysie d un hémicorps controlatérale à la lésion et respectant la face à une paralysie du VI et/ou du VII de… …   Wikipédia en Français

  • síndrome de Millard-Gubler — Eng. Millard Gubler syndrome Síndrome en el que se asocian hemiplejía alterna con parálisis facial homolateral y paresia de las extremidades contralaterales y en ocasiones paresia del VI par homolateral a la lesión que se localiza en la parte… …   Diccionario de oftalmología

  • Millard-Gubler paralysis — see under syndrome …   Medical dictionary

  • Gubler hemiplegia — Millard Gubler syndrome …   Medical dictionary

  • Gubler paralysis — Millard Gubler syndrome …   Medical dictionary

  • Gubler hemiplegia — Gub·ler hemiplegia (goo blaґ) [Adolphe Marie Gubler, French physician, 1821–1879] Millard Gubler syndrome; see under syndrome …   Medical dictionary

  • syndrome — The aggregate of symptoms and signs associated with any morbid process, and constituting together the picture of the disease. SEE ALSO: disease. [G. s., a running together, tumultuous concourse; (in med.) a concurrence of symptoms, fr. syn,… …   Medical dictionary

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