Foville's syndrome

Foville's syndrome
Pons
Classification and external resources
ICD-10	G46.3
ICD-9	344.89
DiseasesDB	32782
MeSH	D020526

Foville's syndrome is caused by the blockage of the perforating branches of the basilar artery in the region of the brainstem known as the pons.^[1]

Structures affected by the infarct are the PPRF, nuclei of cranial nerves VI and VII, corticospinal tract, medial lemniscus, and the medial longitudinal fasciculus.

Presentation

This produces ipsilateral horizontal gaze palsy and facial nerve palsy and contralateral hemiparesis, hemisensory loss, and internuclear ophthalmoplegia.

History

Foville's syndrome was initially described by Achille-Louis-François Foville, a French physician, in 1859.^[2]

References

↑ 1134166052 at GPnotebook
↑ Foville, ALF (1859). "Note sur une paralysie peu connue de certains muscles de l’oeil, et sa liaison avec quelques points de l’anatomie de la physiologie de la protubérance annulaire". Gazette hebdomadaire de médecine et de chirurgie 6: 146.

Cerebrovascular diseases (G45–G46 and I60–I69, 430–438)

Brain ischemia/
cerebral infarction
(ischemic stroke/TIA)

TACI, PACI	precerebral: Carotid artery stenosis cerebral: MCA ACA Amaurosis fugax Moyamoya disease

POCI	precerebral: Anterior spinal artery syndrome Vertebrobasilar insufficiency Subclavian steal syndrome brainstem: medulla Medial medullary syndrome Lateral medullary syndrome pons Medial pontine syndrome/Foville's Lateral pontine syndrome/Millard-Gubler midbrain Weber's Benedikt Claude's cerebral: PCA Lacunar stroke Dejerine–Roussy syndrome cerebellar

General	cerebral: Cerebral venous sinus thrombosis CADASIL Binswanger's disease Transient global amnesia

Intracranial hemorrhage
(hemorrhagic stroke)

Extra-axial	Epidural Subdural Subarachnoid

Cerebral/Intra-axial	Intraventricular

Brainstem	Duret haemorrhage

Aneurysm

Cerebral aneurysm
- Intracranial berry aneurysm
- Charcot-Bouchard aneurysm

Other/general

Cerebral vasculitis

Index of the central nervous system

Description	Anatomy meninges cortex association fibers commissural fibers lateral ventricles basal ganglia diencephalon mesencephalon pons cerebellum medulla spinal cord tracts Physiology neutrotransmission enzymes intermediates Development

Disease	Cerebral palsy Meningitis Demyelinating diseases Seizures and epilepsy Headache Stroke Sleep Congenital Injury Neoplasms and cancer Other paralytic syndromes ALS Symptoms and signs head and neck eponymous lesions Tests CSF

Treatment	Procedures Drugs general anesthetics analgesics addiction epilepsy cholinergics migraine Parkinson's vertigo other

Index of the circulatory system

Description	Anatomy Arteries head and neck arms chest abdomen legs Veins head and neck arms chest abdomen and pelvis legs Development Cells Physiology proteins

Disease	Congenital Neoplasms and cancer Lymphatic vessels Injury Vasculitis Other Symptoms and signs eponymous

Treatment	Procedures Drugs beta blockers channel blockers diuretics nonsympatholytic vasodilatory antihypertensives peripheral vasodilators renin–angiotensin system sympatholytic antihypertensives vasoprotectives

Lesions of spinal cord and brain

Spinal cord/
vascular myelopathy

sensory: Sensory ataxia
Tabes dorsalis

motor: Motor neurone disease

mixed: Brown-Séquard syndrome
cord syndrome (Posterior
Anterior
Central/Syringomyelia)
Subacute combined degeneration of spinal cord (B12)
Cauda equina syndrome

Anterior spinal artery syndrome

Brainstem

Medulla (CN 8, 9, 10, 12)	Lateral medullary syndrome/Wallenberg PICA Medial medullary syndrome/Dejerine ASA

Pons (CN 5, 6, 7, 8)	Upper dorsal pontine syndrome/Raymond Céstan syndrome Lateral pontine syndrome (AICA) (lateral) Medial pontine syndrome/Millard-Gubler syndrome/Foville's syndrome(basilar) Locked-in syndrome Internuclear ophthalmoplegia One and a half syndrome

Midbrain (CN 3, 4)	Weber's syndrome ventral peduncle, PCA Benedikt syndrome ventral tegmentum, PCA Parinaud's syndrome dorsal, tumor Nothnagel's syndrome Claude's syndrome

Other	Alternating hemiplegia

Thalamic syndrome

Other

Subclavian steal syndrome
Upper motor neurone lesion (Clasp-knife response)
Lower motor neurone lesion

Index of the central nervous system

Description	Anatomy meninges cortex association fibers commissural fibers lateral ventricles basal ganglia diencephalon mesencephalon pons cerebellum medulla spinal cord tracts Physiology neutrotransmission enzymes intermediates Development

Disease	Cerebral palsy Meningitis Demyelinating diseases Seizures and epilepsy Headache Stroke Sleep Congenital Injury Neoplasms and cancer Other paralytic syndromes ALS Symptoms and signs head and neck eponymous lesions Tests CSF

Treatment	Procedures Drugs general anesthetics analgesics addiction epilepsy cholinergics migraine Parkinson's vertigo other