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Correlation of clinical and neuroradiological findings in down-gaze palsy
Abstract
Background:
Isolated down-gaze palsy is the least common pathology of vertical gaze. Patients with low-gaze palsy may consult an ophthalmologist with difficulty in reading and this may be the only ocular finding of a central nervous system lesion.
Methods:
A 43-year-old man with isolated down-gaze palsy was examined. The medical history of the patient revealed that he had had myocardial infarction.
Result:
Magnetic resonance imaging disclosed an ischemic area at the right thalamus.
Conclusion:
Down-gaze palsy may be an important sign for the diagnosis of thalamic infarctions due to embolic syndrome.