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Case Reports: Reminder of important clinical lesson
Space occupying lesion presenting as Millard-Gubler syndrome
  1. Uddalak Chakraborty1,
  2. Arindam Santra1,
  3. Alak Pandit1,
  4. Souvik Dubey1 and
  5. Atanu Chandra2
  1. 1Department of Neurology, Institute of Postgraduate Medical Education and Research, Bangur Institute of Neurology, Kolkata, West Bengal, India
  2. 2Department of Internal Medicine, RG Kar Medical College and Hospital, Kolkata, West Bengal, India
  1. Correspondence to Dr Atanu Chandra; chandraatanu123{at}gmail.com

Abstract

Millard-Gubler syndrome (MGS) is a ventral pontine syndrome due to an ipsilateral involvement of abducens and facial nerve with a contralateral hemiparesis or hemiplegia. Although classically described as a vascular brainstem syndrome, various other aetiologies such as infection or demyelination may lead to MGS. In this case, a young female presented with MGS, which was attributed to a strategically located infective granuloma of the brainstem. In countries, where tuberculosis is still considered an endemic, central nervous system involvement due to tuberculosis may have protean manifestations.

  • brain stem / cerebellum
  • cranial nerves
  • infection (neurology)
  • general practice / family medicine
  • infectious diseases

https://doi.org/10.1136/bcr-2021-248590

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    Footnotes

    • Contributors UC, AS and AC contributed to conception and initial drafting of the manuscript. UC, AP and SD contributed to patient management, conception, critical revision of content and final approval of manuscript. All authors are in agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.