 |
|
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
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
|
