Bilateral congenital restriction of upward eye movement

L. Tychsen, R. K. Imes and W. F. Hoyt

Neurologic evaluation of a child with a severe headache revealed a bilateral inability to move the eyes above the horizontal plane. Computed tomographic and magnetic resonance scans of the brain obtained for a suspected midbrain lesion were normal. Photographs from early childhood confirmed that the deficit was congenital.