Pearls & Oy-sters: Upbeat Nystagmus and Quadriplegia in a Young Girl with Bilateral Medial Medullary Syndrome
نویسندگان
چکیده
The presence of nystagmus differentiates a high cervical cord and brainstem lesion in quadriplegic patient.
منابع مشابه
Pearls & Oy-sters: optic tract syndrome.
• The optic tract syndrome is characterized by a contralateral, incongruous homonymous hemianopia, contralateral relative afferent pupillary defect (RAPD), and optic atrophy due to retrograde axonal degeneration. • Optic disc pallor often results in a pattern of bowtie atrophy of the eye with temporal field loss and atrophy of the upper and lower poles of the disc of the eye with nasal field lo...
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CASE REPORT A 46-year-old man with a 60-packyear smoking history, dyslipidemia, and migraine without aura had a cervical lateral acceleration/deceleration injury due to a motor vehicle accident while driving his car. No neurologic deficits were noticed within the next days. Ten days later, his right eye became gradually red, with ipsilateral lacrimation and ocular pain. Ophthalmoscopic examinat...
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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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1. Stiff-person syndrome (SPS) is an autoimmune disease characterized by muscle rigidity, episodic muscle spasms, as well as continuous cocontraction of agonist and antagonist muscles. 2. Although a criterion for diagnosis of SPS, anti– glutamic acid decarboxylase (anti-GAD) antibodies can be negative in up to 40% of patients. In absence of antibodies, characteristic EMG findings of continuous ...
متن کاملPearls & Oy-sters: paroxysmal ocular tilt reaction.
Amadeo R. Rodriguez, MD Robert A. Egan, MD Jason J.S. Barton, MD, PhD, FRCPC In skew deviation, one eye is higher than the other, causing vertical diplopia. Skew deviation is a prenuclear disorder resulting from imbalance in otolith input to the oculomotor system, produced by unilateral lesions anywhere from the otoliths to the interstitial nucleus of Cajal in the rostral midbrain,1 and as such...
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ژورنال
عنوان ژورنال: Neurology
سال: 2021
ISSN: ['0028-3878', '1526-632X']
DOI: https://doi.org/10.1212/wnl.0000000000011493