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[Upward and downward gaze palsy with a unilateral mesencephalic hemorrhage]
J Rodríguez-Gómez1, J Colás, A Aragón
1Unidad de Neurología, Hospital Nuestra Señora del Prado, Talavera de la Reina, Toledo, España. jatenza@JCCM.es
Revista De Neurologia
|May 2, 2000
Abstract
Introduction:
Acute vascular lesions limited to the midbrain can yield varied disturbances of eye movements. They are more often infarcts than hemorrhages.
Clinical Case:
We present the case of a 49 year old, non-hypertensive man who presented with sudden onset of bilateral up and down gaze palsy. CT defined a unilateral hemorrhage in the right mesencephalic tegmentum.
Conclusion:
Cases of upward and downward gaze palsy in association with unilateral upper midbrain hemorrhage are very uncommon. We present a new case.