Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 6, 2019; 7(1): 73-78
Published online Jan 6, 2019. doi: 10.12998/wjcc.v7.i1.73
Vertebrobasilar artery dissection manifesting as Millard-Gubler syndrome in a young ischemic stroke patient: A case report
Xuan-Ting Li, Jun-Liang Yuan, Wen-Li Hu
Xuan-Ting Li, Jun-Liang Yuan, Wen-Li Hu, Department of Neurology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
Author contributions: Li XT and Yuan JL are joint first authors. Hu WL designed the research; Li XT and Yuan JL collected the data; Li XT and Yuan JL wrote the paper.
Supported by the National Natural Science Foundation of China, No. 81301016; and the Beijing Municipal Administration of Hospitals’ Youth Programme, No. QML20150303.
Informed consent statement: Written informed consent was obtained from the patient.
Conflict-of-interest statement: The authors declare no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Wen-Li Hu, MD, Director, Doctor, Department of Neurology, Beijing Chaoyang Hospital, Capital Medical University, No. 8, South Gongti Road, Chaoyang District, Beijing 100020, China.
Telephone: +86-10-85231370 Fax: +86-10-85232985
Received: August 2, 2018
Peer-review started: August 3, 2018
First decision: October 19, 2018
Revised: November 23, 2018
Accepted: November 30, 2018
Article in press: December 1, 2018
Published online: January 6, 2019
Core Tip

Core tip: Millard-Gubler syndrome (MGS) is caused by a lesion in the brainstem at the level of facial nerve nucleus, and it is also a rare ventral pontine syndrome. We herein describe an unusual case of young acute ischemic stroke patient presenting with MGS. The high-resolution magnetic resonance imaging (MRI) indicated a diagnosis of vertebrobasilar artery dissection (VAD). This is the first case report on the coexistence of MGS and VAD in a young acute ischemic troke patient. Our finding further demonstrated that high-resolution MRI is a useful technique to early detect underlying dissection in posterior circulation ischemic stroke.