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CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2020; 09(01): 49-51
DOI: 10.1055/s-0039-3401333
Short Communication

“Nine Syndrome”: A Rare Neuroophthalmological Syndrome Associated with HIV Vasculopathy

Nikhlesh Tiwari
1   Department of Neurosurgery, BGS Global Hospital, Kengeri, Bengaluru, Karnataka, India
,
Suryanarayan Sharma
2   Apollo Hospital, Bengaluru, Karnataka, India
,
Madhusudan B. K.
1   Department of Neurosurgery, BGS Global Hospital, Kengeri, Bengaluru, Karnataka, India
,
Veeresh U. Mathad
1   Department of Neurosurgery, BGS Global Hospital, Kengeri, Bengaluru, Karnataka, India
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Abstract

There are many named brainstem syndromic variants of medullary infarcts among which “eight-and-a-half” syndrome is a rare condition that involves ipsilateral abducens nucleus or paramedian pontine reticular formation, ipsilateral medial longitudinal fasciculus, and adjacent facial colliculus/facial nerve. Here, we describe a new variant of brainstem syndrome, which includes the clinical features of “eight-and-a-half syndrome” with associated hemiparesis. This patient is a known case of HIV illness since 6 years on antiretroviral therapy, presented with features of “Nine” syndrome.

Keywords

nine syndrome - medullary infarct - eight-and-a-half syndrome - MLF - PPRF - HIV


Publication History

Article published online:
30 January 2020

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