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Case Report

One and Half Syndrome in Acute Pontine Infarct: A Rare Entity

Vaibhav Gulati, PGY3, MEM {GWUUSA} Dept of Emergency Medicine, Max Super Specialty Hospital, Shalimar Bagh, New Delhi, Delhi 110088, India. , Anita Rawat1 , Kishalay Datta2 , Vaibhav Gulati3

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Indian Journal of Emergency Medicine 3(2):p 264-265, Jul-Dec 2017. | DOI: http://dx.doi.org/10.21088/ijem.2395.311X.3217.17

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Abstract

Oneandahalf syndrome is a clinical disorder characterized by an ipsilateral conjugate horizontal gaze palsy and an ipsilateral internuclear ophthalmoplegia. The main causes of this rare syndrome are stroke and multiple sclerosis. Other causes include tumors, AV malformations, basilar artery aneurysms and rarely, vasculitis, brainstem tuberculoma and neurocysticercosis. Here we present a case of 69 year old male patient who presented to emergency with only blurring of vision and was diagnosed to have acute left sided/ paramedian acute dorsal pontine infarct,one and a half syndrome.

Keywords: One and Half Syndrome; Infarct; Pons. 

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DOI: http://dx.doi.org/10.21088/ijem.2395.311X.3217.17

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