Diseases of the nervous system : a text-book of neurology and psychiatry . Fig. 199.—Pontine middle syndrome. Lesion of the lateral part of the left pontinetegmentum, involving the nuclei of the trigeminus, the crossed secondary sensorypaths of the tegmentum, partially involving the superior cerebellar peduncle (Pes)and the median lemniscus (Rm), and not involving the anterior portion of the pons. On the right there is hemianesthesia of the extremities of the syringomyelic type,above all for pain and temperature sense. On the left there is paralysis of the muscles of mastication (pterygoid, ma


Diseases of the nervous system : a text-book of neurology and psychiatry . Fig. 199.—Pontine middle syndrome. Lesion of the lateral part of the left pontinetegmentum, involving the nuclei of the trigeminus, the crossed secondary sensorypaths of the tegmentum, partially involving the superior cerebellar peduncle (Pes)and the median lemniscus (Rm), and not involving the anterior portion of the pons. On the right there is hemianesthesia of the extremities of the syringomyelic type,above all for pain and temperature sense. On the left there is paralysis of the muscles of mastication (pterygoid, masseter,temporal) by lesion of the motor nucleus of the trigeminus. There is slight anesthesiain the trigeminus region (sensory nucleus TO and choreo-athetoid movements of theextremities from involvement of the superior cerebellar peduncle. (Dejerine.) (SeeChart, No. 13, p. 392.) 394 DISEASES OF THE PONS, BRAIN STEM, AND MIDBRAIN M rt fl - £ >> ?-M fi ^ £: bO^ M «.: c g . „j C C3 cS OJ -S^ oi—. S 1 o «£-S 55 i^ o3 a ho 3 g ^ ° >>^ aboS


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