Claude Syndrome in Midbrain Infraction

J Korean Neurol Assoc > Volume 14(3); 1996 > Article

Journal of the Korean Neurological Association 1996;14(3): 832-835.

중뇌 뇌경색에 의한 Claude Syndrome

민양기, 허지회, 김정연

연세대학교 의과대학 신경과학교실

Claude Syndrome in Midbrain Infraction

Yang Ki Minn, M.D., Ji Hoe Hur, M.D., Jeong Yeon Kim, M.D.

Department of neurology, Yonsei University College of Medicine

Abstract

Claude syndrome is a well known midbrain syndrome which is characterized by ipsilateral oculomotor nerve palsy and contralateral cerebellar ataxia by the lesion of the red nucleus. Although this syndrome was reported as early as in 1924 by Claude, only a few cases have been reported. Moreover, the midbrain infarction as a cause of Claude syndrome has quite rarely been described. Firstly, we report a 61-year-old patient with partial oculomotor nerve palsy and contralateral cerebellar ataxia who demonstrated an infarction just caudal to the red nucleus on MRI. Secondly, we also discuss the probable vertical fascicular arrangement of the oculomotor nerve in the midbrain.