Abstract
We conducted clinical and neuroradiological studies on 3 cases of Gasperini syndrome, Case 1 (a 42-year-old female) and case 2 (a 70-year-old male) were pontine infarction. Case 3 (a 42-year-old male) was pontine hemorrhage. The main symptoms included 5th, 6th, 7th and 8th cranial nerve palsy, cerebellar ataxia on the ipsilateral side, and sensory disturbance on the contralateral body in all 3 cases. We found Horner syndrome and lateral gaze palsy in 1 case and contralateral muscle weakness in 2 cases. The cerebral angiographic findings in two cases with the pontine infarctions showed occlusion of the bilateral vertebral arteries and stenosis of the basilar arteries. MRI showed the lesion at the lateral tegmentum of lower pons in all cases. The pathogenesis of the Gasperini syndrome caused by brainstem infarction is thought to be the terminal zone infarction of three branches from basilar artery (paramedian, short circumferential, long circumferential branches).
