گزارش یک مورد سندرم ژوبرت همراه با Alternating Skew Deviation و Lateral Skew Deviation
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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...
full textThree dimensions of skew deviation.
S kew means set, placed, or running obliquely; slanting. For a century, skew deviation has been the descriptive term for an acquired vertical deviation that slants the interpupillary axis to an oblique orientation. 3 This condition has traditionally connoted a severe and debilitating neurological injury within the posterior fossa. Subsequent investigation has refined our understanding of this d...
full textDifferent types of skew deviation.
Although all manifest skew deviations appear the same for the clinician, skew deviation can result from different combinations of dysconjugate vertical ocular deviations. Evidence is presented for three different types of skew deviation when it occurs as a feature of an ocular tilt reaction. In type 1 (utricle) there is upward deviation of both eyes with different amplitudes, as described for o...
full textSkew deviation and retinal photography.
A 50-year-old man was admitted for the acute onset of vertical diplopia worse on left gaze. The right eye appeared hypertropic. Either right fourth nerve palsy or skew deviation was possible.1,2 Nonmydriatic retinal photography revealed an excyclotorsion of the hypotropic eye associated with incyclotorsion of the hypertropic eye (figure 1, A and B) providing a key element for skew deviation. In...
full textThe Ocular Tilt Reaction and Skew Deviation
The ocular tilt reaction composes a triad of ipsiiateral head-tilt, ipsilaterai conjugate ocular torsion, and skew deviation with ipsilaterai hypotropia. It results from a disruption of central vestibular pathways conveying information from the semicircular canals and otoliths. Skew deviation is one component of the syndrome which may or may not be associated with the concomitant torsion and he...
full textVertical gaze palsy with skew deviation.
With the advancement of neuroradiology, clinical localization followed by radiology, had made neurology more interesting. Vertical gage palsy as presentation cerebrovascular disease is not so common. Vertical gaze palsy usually localizes the lesion to dorsal mid brain. A 56 years male patient presented with sudden onset vertigo, diplopia, transient loss of consciousness and sways toward right s...
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Journal title
volume 25 issue 3
pages 299- 301
publication date 2021-05
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