Abstract
We report the case of an 81-year-old man with tegmental pontine infarction manifested combined with peripheral facial and abducens nerve palsy. He was initially diagnosed with left peripheral facial palsy due to idiopathic or diabetic neuropathy. But diffusion weighted magnetic resonance imaging performed 2 days after the onset demonstrated increased signal intensity, compatible with infarction, in the ipsilateral tegmental part of pons. His abducens nerve palsy was resolved soon after treatment for cerebral thrombosis, but the facial palsy partially persisted. We must recognize various sources of peripheral facial palsy and the significance of extensive etiological diagnosis with the inclusion of intraparenchymal lesion.
