Wernekink comissure syndrome: A rare midbrain syndrome secondary to stroke

Alper I. Dai, Mohammad Wasay

Research output: Contribution to journalArticlepeer-review

17 Citations (Scopus)


Wernekink commissure involves the decussation of superior cerebellar peduncle (SCP) in midbrain. We report an elderly hypertensive, diabetic man who developed slurred speech, ataxia, and internuclear ophthalmoplegia. MRI examination revealed an unusual ischemic stroke involving Wernekink commissure. This rare stroke pattern involving decussation of SCP occurs in the setting of small arterial disease. The association between the anatomic location of the stroke and clinical findings is noteworthy.

Original languageEnglish
Pages (from-to)289-290
Number of pages2
JournalJournal of the Pakistan Medical Association
Issue number6
Publication statusPublished - Jun 2006


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