Babinski-nageotte syndrome (medullary tegmental paralysis)

General: Lesion in pontobulbar transitional region (corpus restiforme, Deiters nucleus, sympathetic fi 424b17e bers); 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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Magalini SI, Scrascia E. Dictionary of Medical Syndromes, 2nd ed. Philadelphia: JB Lippincott, 1981.

Miller NR. Walsh and Hoyts Clinical Neuro-Ophthalmology. 4th ed. Baltimore: Williams & Wilkins, 1987.

Mossuto-Agatiello L, Kniahynicki C. The syndrome of Babinski and Nageotte. Stroke 1992; 23:919-920.