Evolution and Persistence of Torsional Downbeat Nystagmus in Lateral Medullary Infarction

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Downbeat nystagmus due to a paramedian medullary lesion.

Cell groups of the paramedian tract, which are located in the paramedian region of the lower brainstem, are eye-movement-related neurons that project to the cerebellar flocculus. Their inactivation produces downbeat nystagmus, which resembles eye movement disorders resulting from lesions of the cerebellar flocculus in animal experiments. Therefore, paramedian tract cells are assumed to fulfill ...

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Head-shaking nystagmus in lateral medullary infarction: patterns and possible mechanisms.

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Lateral and Medial Medullary Infarction

Background and Purpose—No large-scale study has ever compared the clinical and radiological features of lateral medullary infarction (LMI) and medial medullary infarction (MMI). The aim of this study was to investigate them through the use of cooperatively collected cases. Methods—Medical information on all patients from 1996 to 2000 with medullary infarction (MI) proven by brain MR images at 3...

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Medial medullary infarction is characterized by contralateral paralysis of the arm and leg, contralateral loss of position and vibration sense, and an ipsilateral paralysis of the tongue. Rarely, upbeat nystagmus has been described. Bowtie nystagmus, which refers to oblique upbeat nystagmus with horizontal quick phases that alternate from right to left, has been reported in association with tob...

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ژورنال

عنوان ژورنال: Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques

سال: 2017

ISSN: 0317-1671,2057-0155

DOI: 10.1017/cjn.2017.34