Emotional facial paresis of pontine origin

Abstract

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 …