{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T00:15:31Z","timestamp":1700612131326},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T00:00:00Z","timestamp":1697500800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T00:00:00Z","timestamp":1697500800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Neurol"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Stroke is rarely accompanied with peripheral facial paralysis and supranuclear palsy of the hypoglossal nerve. Both sides of the motor cortex innervate the hypoglossal nucleus; therefore, unilateral lesions of the upper motor neurons rarely result in contralateral lingual paresis. We report a rare case of crossed syndrome with associated hyperacute peripheral hemifacial paralysis and contralateral lingual paresis after a lower pontine tegmentum ischemic stroke.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>: A 73-year-old man presented with symptoms of hyperacute peripheral hemifacial paralysis. Upon protrusion, the patient\u2019s tongue deviated to the contralateral side, without fasciculation or atrophy. Brain imaging showed focal ischemic stroke in the pontine tegmentum. However, lingual hemiparesis and multimodal neuroimaging findings differed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>We suggest that cortico-hypoglossal fibers pass through the dorsal pontine. This case of crossed syndrome is a rare report of a lower pontine tegmentum ischemic stroke resembling an upper motor neuron lesion of the contralateral hypoglossal nerve.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12883-023-03363-8","type":"journal-article","created":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T06:04:02Z","timestamp":1697522642000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An interesting case of crossed syndrome: ipsilateral facial paralysis with contralateral glossoplegia"],"prefix":"10.1186","volume":"23","author":[{"given":"Sangil","family":"Park","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Su Hyeon","family":"Ha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baeseoup","family":"Song","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ho Geol","family":"Woo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sung Hyuk","family":"Heo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dae-il","family":"Chang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,10,17]]},"reference":[{"issue":"6","key":"3363_CR1","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1001\/archneur.1995.00540300117021","volume":"52","author":"IE Silverman","year":"1995","unstructured":"Silverman IE, Liu GT, Volpe NJ, Galetta SL. The crossed paralyses. The original brain-stem syndromes of Millard-Gubler, Foville, Weber, and Raymond-Cestan. Arch Neurol Jun. 1995;52(6):635\u20138. https:\/\/doi.org\/10.1001\/archneur.1995.00540300117021.","journal-title":"Arch Neurol Jun"},{"issue":"1","key":"3363_CR2","first-page":"69","volume":"8","author":"FJ Laine","year":"1998","unstructured":"Laine FJ, Smoker W. Anatomy of the cranial nerves. Neuroimaging Clin N Am. 1998;8(1):69\u2013100. PMID: 9449754.","journal-title":"Neuroimaging Clin N Am"},{"issue":"6","key":"3363_CR3","doi-asserted-by":"publisher","first-page":"843","DOI":"10.1017\/cjn.2015.353","volume":"43","author":"JH Lee","year":"2016","unstructured":"Lee JH, Lee D, Heo SH, Chang D-i. Isolated glossoplegia in capsular infarction. 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Eur J Neurol Nov. 2020;27(11):2158\u201367. https:\/\/doi.org\/10.1111\/ene.14387.","journal-title":"Eur J Neurol Nov"},{"issue":"3","key":"3363_CR6","doi-asserted-by":"publisher","first-page":"1031","DOI":"10.1093\/brain\/120.10.1910","volume":"119","author":"P Urban","year":"1996","unstructured":"Urban P, Hopf H, Connemann B, Hundemer H, Koehler J. The course of cortico-hypoglossal projections in the human brainstem: functional testing using transcranial magnetic stimulation. Brain. 1996;119(3):1031\u20138. https:\/\/doi.org\/10.1093\/brain\/120.10.1910.","journal-title":"Brain"},{"key":"3363_CR7","doi-asserted-by":"publisher","first-page":"e936511","DOI":"10.12659\/ajcr.936511","volume":"8","author":"C Zhou","year":"2022","unstructured":"Zhou C, Cheng M. Contralateral Tongue deviation due to Paramedian Pontine Infarction: a brief review of Cortico-Hypoglossal Projections. Am J Case Rep Jun. 2022;8:23:e936511. https:\/\/doi.org\/10.12659\/ajcr.936511.","journal-title":"Am J Case Rep Jun"},{"issue":"8","key":"3363_CR8","doi-asserted-by":"publisher","first-page":"905e1","DOI":"10.1016\/j.jstrokecerebrovasdis.2011.05.015","volume":"21","author":"BD Ku","year":"2012","unstructured":"Ku BD, Rhee HY, Yoon SS. Contralateral glossoplegia in a lower pontine infarction. J Stroke Cerebrovasc Dis. 2012;21(8):905e1\u20133. https:\/\/doi.org\/10.1016\/j.jstrokecerebrovasdis.2011.05.015.","journal-title":"J Stroke Cerebrovasc Dis"}],"container-title":["BMC Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12883-023-03363-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12883-023-03363-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12883-023-03363-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T14:23:15Z","timestamp":1700576595000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcneurol.biomedcentral.com\/articles\/10.1186\/s12883-023-03363-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,17]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["3363"],"URL":"https:\/\/doi.org\/10.1186\/s12883-023-03363-8","relation":{},"ISSN":["1471-2377"],"issn-type":[{"value":"1471-2377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,17]]},"assertion":[{"value":"5 March 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 August 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 October 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not obtained, as it was a case report. Written consent only obtained.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"370"}}