Benedikt and "plus-minus lid" syndromes arising from posterior cerebral artery branch occlusion


AKDAL HALMAGYI G., Kutluk K., Men S., Yaka E.

JOURNAL OF THE NEUROLOGICAL SCIENCES, no.1, pp.105-107, 2005 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Publication Date: 2005
  • Doi Number: 10.1016/j.jns.2004.09.029
  • Journal Name: JOURNAL OF THE NEUROLOGICAL SCIENCES
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.105-107
  • Keywords: Benedikt, plus-minus lid syndromes, occlusion, MIDBRAIN INFARCTION
  • Dokuz Eylül University Affiliated: Yes

Abstract

A 53-year-old man was admitted with diplopia, right ptosis, left lid retraction. mild left sided weakness and involuntary movements Neurological examination revealed plus-minus lid and Benedikt's syndromes together. Magnetic resonance imaging (MRI) showed two distinct mesencephalic infarctions in territories of paramedian and pedincular perforating arteries. Magnetic resonance angiography (MRA) showed severe stenosis of proximal segment of the right posterior cerebral artery (PCA). Rare clinical presentations such as Benedikt and plus-minus syndromes can be seen together and be due to stenosis of the posterior cerebral artery with specific regional infarctions. (C) 2004 Elsevier B.V. All rights reserved.