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James R. Keane, MD; Bruce A. Finstead, MD

Arch Neurol. 1982;39(12):781-782.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Upward gaze limitation suggests pretectal dysfunction and, particularly in adolescents, is often an ominous indication of a pineal region tumor.¹ In one of our patients, however, upward gaze paresis was the outstanding early sign of Fisher's variant of Guillain-Barré syndrome, and the patient recovered uneventfully.

REPORT OF A CASE

Ten days after having had an upper respiratory tract infection, a 15-year-old boy became dizzy and noticed blurred and double vision. His symptoms remained unchanged until three days later, when nausea, vomiting, and difficulty in walking developed. Examination found complete upward gaze paralysis and horizontal nystagmus. A computed tomographic (CT) scan was normal. The patient was admitted to the local hospital.

The following day, visual acuity and confrontation visual fields were normal, as were the optic fundi. The pupils were 4 mm in diameter and reacted normally to light. There was slight symmetric limitation of gaze to either side . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Neurology, University of Southern California Medical School, Los Angeles.

Footnotes
Accepted for publication Feb 19, 1982.

Reprint requests to 1200 N State St, Los Angeles, CA 90033 (Dr Keane).

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