Delhi Journal of Ophthalmology

Eight and A Half: A Rare Neuro Ophthalmological Syndrome

Ekta Syal, Rajwinder Kaur, Harjeet Kaur Sidhu
Department of Ophthalmology, Adesh Institute of Medical Sciences and Research, Bathinda, Punjab, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Rajwinder Kaur 
MBBS, MS
Department of Ophthalmology, 
Adesh Institute of Medical Sciences and Research, Bathinda, Punjab, India
Email id: rajujerry26@gmail.com


Published Online: 01-NOV-2018
DOI: http://dx.doi.org/10.7869/djo.404

Abstract
Eight-and-a-half syndrome is a rare clinical entity comprised of one-and-a-half syndrome with ipsilateral facial palsy. We present a clinical case of a 45 year old male who presented with left eight and a half syndrome. Contrast MRI brain showed the constellation of findings with diffusion weighted images (DWI) and apparent diffusion coefficient (ADC) changes corresponding to the anatomical correlation in the dorsal pontine tegmentum. Treatment with antihypertensive and antiplatelets showed significant improvement in symptoms. Our report aims to raise awareness about this rare neuro-ophthalmological syndrome, as early recognition can accelerate diagnosis and decrease the morbidity.

Keywords :Diplopia, Pontine infarct, Eight and a half, Hypertension