 |
 |

Dissociated Vertical Nystagmus and Internuclear Ophthalmoplegia From a Midbrain Infarction
Randolph S. Marshall, MD;
Ralph L. Sacco, MD;
Ronald Kreuger, MD;
Jeffrey G. Odel, MD;
J. P. Mohr, MD
Arch Neurol. 1991;48(12):1304-1305.
Abstract
We describe a patient with a dissociated vertical nystagmus and an internuclear ophthalmoplegia. The vertical nystagmus consisted of a left downward nystagmus with a synchronous right intorting nystagmus when the patient looked down and to the left. This rare type of nystagmus has been described both in isolation and in association with an internuclear ophthalmoplegia. Previous authors postulated a lesion in the midbrain in the region of the medial longitudinal fasciculus. In our patient, a discrete midbrain infarction was demonstrated on magnetic resonance imaging in the hypothesized location, thus providing supportive anatomical evidence for a vertical gaze coordination pathway in the region of the medial longitudinal fasciculus.
Author Affiliations
From the Departments of Neurology (Drs Marshall, Sacco, and Mohr) and Ophthalmology (Drs Kreuger and Odel), Columbia-Presbyterian Medical Center, New York, NY.
Footnotes
Accepted for publication June 4, 1991.
Reprint requests to Neurological Institute of the Columbia-Presbyterian Medical Center, 710 W 168th St, Box 83, New York, NY 10032 (Dr Marshall).
CiteULike Connotea Del.icio.us Digg Reddit Technorati Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
CKD Associates with Cognitive Decline
Khatri et al.
J. Am. Soc. Nephrol. 2009;20:2427-2432.
ABSTRACT
| FULL TEXT
Jerky seesaw nystagmus in isolated internuclear ophthalmoplegia from focal pontine lesion
Oh et al.
Neurology 2005;64:1313-1314.
FULL TEXT
Mesencephalic and Associated Posterior Circulation Infarcts
Kumral et al.
Stroke 2002;33:2224-2231.
ABSTRACT
| FULL TEXT
Arnold-Chiari malformation and nystagmus of skew
Pieh and Gottlob
J. Neurol. Neurosurg. Psychiatry 2000;69:124-126.
ABSTRACT
| FULL TEXT
Midbrain infarction: associations and aetiologies in the New England Medical Center Posterior Circulation Registry
Martin et al.
J. Neurol. Neurosurg. Psychiatry 1998;64:392-395.
ABSTRACT
| FULL TEXT
|