Dorsal midbrain syndrome with bilateral superior oblique palsy following brainstem hemorrhage.

Lesions affecting the dorsal midbrain can result in a constellation of ocular findings such as vertical gaze disturbances, convergence retraction nystagmus, light-near dissociation of pupils, and eyelid retraction. Although bilateral superior oblique palsy can occur after a stroke, its occurrence secondary to nontraumatic brainstem hemorrhage is extremely rare. We report a combination of dorsal midbrain syndrome and bilateral superior oblique palsy following brainstem hemorrhage.