 |
|
Dorsal Midbrain Syndrome With Bilateral Superior Oblique Palsy Following Brainstem Hemorrhage
Rahul Bhola, MD;
Richard J. Olson, MD
Arch Ophthalmol. 2006;124:1786-1788.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
Lesions affecting the dorsal midbrain can result in a constellation of ocular findings such as vertical gaze disturbances, convergence retraction nystagmus, light-near dissociation of pupils, and eyelid retraction.1-2 Although bilateral superior oblique palsy can occur after a stroke, its occurrence secondary to nontraumatic brainstem hemorrhage is extremely rare.3 We report a combination of dorsal midbrain syndrome and bilateral superior oblique palsy following brainstem hemorrhage.
Report of a Case
A 43-year-old man noted sudden onset of binocular vertical and torsional diplopia subsequent to a stroke 2 years prior to presentation. He complained of oscillopsia more pronounced in upgaze along with an anomalous chin-down position since the stroke. He was receiving anticoagulant therapy for coagulopathy at the time of the stroke and underwent a right frontal ventriculoperitoneal shunt for acute hydrocephalus secondary to the intracranial bleed.
Uncorrected visual acuity was 20/25 OU. Pupils were 3 mm in both eyes . . . [Full Text of this Article]
Comment
AUTHOR INFORMATION
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
RELATED LETTER
Characterizing Superior Oblique Palsies and Skew Deviations
Pramod Kumar Pandey, Pankaj Vats, Anupam Singh, and Samreen Uppal
Arch Ophthalmol. 2008;126(6):875-876.
EXTRACT
| FULL TEXT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Characterizing Superior Oblique Palsies and Skew Deviations
Pandey et al.
Arch Ophthalmol 2008;126:875-876.
FULL TEXT
|
