Transient eye and nose pain as an initial symptom of pontine infarction
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Headache is relatively common in Wallenberg’s lateral medullary syndrome.1,2⇓ For head pain associated with this syndrome, C.M. Fisher proposed two distinct components1: pain in the occipital, occipitofrontal, and nuchal areas attributed to ischemia of a vertebral artery and pain in the eye, nose, and cheek to ischemia in the nucleus of the descending root of the trigeminal nerve. Pontine infarction has rarely been reported to cause facial pain similar to that in Wallenberg’s syndrome.3-5⇓⇓ We report three patients with transient eye and nose pain ipsilateral to the pontine infarct.
Case reports.
Case 1.
A 42-year-old man suddenly developed sharp facial pain radiating from the right medial side of his eye to the nose while walking. The pain lasted for several minutes. He also had a peculiar feeling similar to epistaxis on the right side. Approximately 5 minutes later, he developed left-sided numbness …
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