Webers syndrome
Most of these are due to small lacunar type strokes affecting the brainstem
Name Details Weber syndrome
Oculomotor palsy with contralateral hemiparesis and contralateral UMN VII palsy. Infarct Base of midbrain involves IIIrd nerve and corticospinal tracts Claude syndrome Oculomotor palsy with contralateral cerebellar ataxia, contralateral hemiparesis and tremor. Infarct to cerebral peduncle and involves red nucleus
Benedikt syndrome Oculomotor palsy with contralateral cerebellar ataxia and tremor and corticospinal signs. Stroke affects the III red nucleus and corticospinal tract
Parinaud syndrome Paralysis of upward gaze and fixed pupils with convergence disorders and pupillary and lid disorders. Infarct around the periaqueductal structures and Dorsal midbrain
Nothnagel syndrome Ipsilateral IIIrd nerve lesions and ipsilateral cerebellar ataxia. Stroke affects Tectum of midbrain takes out III and superior cerebellar peduncle
Millard Gubler syndrome Ipsilateral LMN Facial weakness and abducens weakness and a contralateral hemiplegia. Infarct at the pontomedullary junction takes out VII nucleus and VI nerve and corticospinal tract
Wallenberg syndrome Ipsilateral V,IX,X,XI palsy. Horner syndrome. Cerebellar ataxia and contralateral pain and temperature sense impaired = Wallenberg syndrome. Lateral spinothalamic tract, descending pupil dilator fibres and spinocerebellar and olivocerebellar tracts as well as V,IX,X,XI nuclei and lateral tegmentum of medulla (Lateral medullary syndrome)
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Eponymous brainstem strokes
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