Alternating Skew Deviation due to Hemorrhage in the Cerebellar Vermis

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Alternating skew deviation due to hemorrhage in the cerebellar vermis.

A 76-year-old Japanese woman with essential hypertension and diabetes mellitus abruptly presented with nausea, dizziness, an occipital headache, truncal ataxia, gaze-evoked nystagmus and alternating skew deviation (ASD) with abducting eye hypertropia. Cranial computed tomography demonstrated hemorrhage in the cerebellar vermis and its vicinity. These symptoms gradually resolved within three wee...

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Considerations on the mechanisms of alternating skew deviation in patients with cerebellar lesions.

Alternating skew deviation, in which the side of the higher eye changes depending upon whether gaze is directed to the left or the right, is a frequent sign in patients with posterior fossa lesions, including those restricted to the cerebellum. Here we propose a mechanism for alternating skews related to the otolith-ocular responses to fore and aft pitch of the head in lateral-eyed animals. In ...

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Cerebellar skew deviation and the torsional vestibuloocular reflex.

BACKGROUND Skew deviation is typically caused by brainstem damage, and has not been identified with focal cerebellar lesions. This vertical strabismus has been attributed to asymmetric disruption of vestibuloocular reflex (VOR) projections from otolithic receptors of the utricle to ocular motoneurons, but asymmetry of the utriculo-ocular counter-roll reflex has not been detected. METHODS Lesi...

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Diplopia due to skew deviation following neurotologic procedures.

OBJECTIVE To describe and characterize diplopia resulting from skew deviation after cerebellopontine angle (CPA) surgery and labyrinthectomy. PATIENTS AND INTERVENTIONS Retrospective case series of 4 patients who developed vertical diplopia from skew deviation after resection of tumors in the CPA or labyrinthectomy MAIN OUTCOME MEASURE Complete neuro-opthalmologic examination including opti...

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ژورنال

عنوان ژورنال: Internal Medicine

سال: 2012

ISSN: 0918-2918,1349-7235

DOI: 10.2169/internalmedicine.51.7912