Teaching Video NeuroImage: Isolated medial rectus palsy in midbrain infarction
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چکیده
منابع مشابه
Teaching video NeuroImage: isolated medial rectus palsy in midbrain infarction.
A 76-year-old man with hypertension suddenly developed horizontal diplopia. Examination disclosed adduction deficit of left eye without dissociated abducting nystagmus and ocular tilt reaction (OTR) (video). The impaired adduction was similar for saccades, smooth pursuit, the vestibulo-ocular reflex, and convergence. Vertical eye movements were normal. Diffusion-weighted MRI demonstrated a circ...
متن کاملMidbrain infarct presenting as isolated medial rectus palsy.
The abrupt onset of CNS symptoms in SLE patients presents a diagnostic and therapeutic challenge. As reported on a recent review of 323 SLE patients, the most common CNS presentations in descending order of frequency were headache, cerebrovascular disease, mood disorders, cognitive dysfunction, seizures, psychosis, anxiety disorder, and acute confusional state. [2] These symptoms may be either ...
متن کاملIsolated superior rectus palsy due to contralateral midbrain infarction.
BACKGROUND Isolated superior rectus palsy due to a contralateral midbrain lesion has not been reported. CASE DESCRIPTION A 71-year-old woman suddenly developed diplopia. Examination showed that she had isolated superior rectus paresis. Magnetic resonance imaging showed a tiny infarct at the area of the oculomotor nucleus on the contralateral side. CONCLUSION Isolated superior rectus palsy m...
متن کاملIsolated Medial Rectus Nuclear Palsy as a Rare Presentation of Midbrain Infarction
BACKGROUND Diplopia is a common subjective complaint that can be the first manifestation of a serious pathology. Here, we report a rare case of midbrain infarction involving the lateral subnucleus of the oculomotor nuclear complex presenting as diplopia, with no other stroke manifestations. CASE REPORT An 83-year-old right-handed white man with past medical history of diabetes mellitus, hyper...
متن کاملMedial Rectus Nuclear Palsy as a Sole Feature of Midbrain Infarction Secondary to Stenosis of Posterior Cerebral Artery
113 To the Editor: Ophthalmoplegia can cause diplopia, with a lot of etiologies including cerebrovascular disease. Nuclear ophthalmoplegia resulted from brainstem infarction is often accompanied by other symptoms of brainstem dysfunction. It is fairly rare that midbrain infarction only manifests as isolated medial rectus nuclear palsy. Here, we provided such an uncommon case and discussed the p...
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ژورنال
عنوان ژورنال: Neurology
سال: 2008
ISSN: 0028-3878,1526-632X
DOI: 10.1212/01.wnl.0000335267.63332.2c