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Report of a Patient in Coma After Hyperextension Head Injury

James R. Keane, MD

Arch Neurol. 1978;35(3):173-174.

Abstract
• For 24 hours after an automobile accident, a 19-year-old comatose man exhibited spontaneous, intermittent, see-saw, rotatory, and downward eye movements, with synchronous lid elevation. These unusual movements, which appear most closely related to nonpendular see-saw nystagmus and atypical ocular bobbing, probably resulted from the severe pontomedullary tegmental damage found at autopsy.

Author Affiliations
From the Department of Neurology, University of Southern California/Los Angeles County Medical Center, Los Angeles.

Footnotes
Accepted for publication Aug 23, 1977.

Reprint requests to the Department of Neurology, University of Southern California/Los Angeles County Medical Center, 1200 N State St, Los Angeles, CA 90033 (Dr Keane).

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