The Cranial Nerves

– Part 2

Cranial Nerves V & VII.

Brainstem Syndromes Review.
 Brainstem Syndromes Review

• Millard Gübler Syndrome – hemiplegia on the

opposite side of the lesion (controlateral) +
peripheral facial paralysis on the same side
with the lesion (ipsilateral); in some cases it is
associated with n III paralysis.
• Superior Foville Syndrome – controlateral
hemiplegia + face affectation + paralysis of the
lateral eye movement towards the healthy
side.
• Inferior Foville Syndrome = Millard Gübler
symptomes + paralysis in the lateral eye
movement (the eyes are blocked looking
towards the hemiplegic side).
• Weber Syndrome = paralysis of nerve III on
the same side with the lesion + hemiplegia on
the opposite side of the body.

• Peduncular Foville = Weber + paralysis of the

lateral eye movement (eyes deviated towards
the healthy side).
Bibliography and Suggested Further Reading:

1. Mummenthaler M, Mattle H, Eds. 4th ed. Neurology. Georg Thieme Verlag 2004; pp.
195-9, 253-4;
2. Jones H. Royden, Vytopil M. Cranial Nerve V: Trigeminal. In: Royden JH, Srinivasan J,
Allam GJ, Baker RA, Eds. 2nd ed. Netter’s Neurology. Philadelphia: Elsevier Saunders2012;
pp. 93, 97;
3. Vytopil M, Jones H. Cranial Nerve VII: Facial. In: Royden JH, Srinivasan J, Allam GJ, Baker
RA, Eds. 2nd ed. Netter’s Neurology. Philadelphia: Elsevier Saunders2012; pp. 100;
4. Wilkinson I, Lennox G. Essential Neurology. 4th edition. Blackwell Publishing.; pp. 122-5;
5. Pendefunda G, Ștefanache F, Pendefunda L. Semiologie neurologică. Ediția a șaptea.
Edit. Contact Internațional, Iași, 1992. pp.160-9.