(Medullary Tegmental Paralysis)

General: Lesion in pontobulbar transitional region (corpus restiforme, Deiters nucleus, sympathetic fibers); Horner triad is always part of this syndrome; the findings are similar to Cestan-Chenais syndrome and Wallenberg syndrome; rare condition caused by ischemic lesion of the medulla oblongata involving the unilateral and medial areas of the medulla.
Ocular: Enophthalmos; ptosis; nystagmus; miosis.
Clinical: Contralateral hemiparesis and disturbance of sensibility; ipsilateral cerebellar hemiataxia; perhaps ipsilateral analgesia of the face, vocal cord, and soft palate; adiadochokinesis; lateral pulsion; dysmetria.

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