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Seesaw nystagmus following whole brain irradiation and intrathecal methotrexate
J A Epstein1, M L Moster, M Spiritos
1Department of Neurosensory Sciences, Albert Einstein Medical Center, Philadelphia, PA 19141, USA.
Abstract:
A patient developed pendular seesaw nystagmus after receiving radiation and intrathecal methotrexate treatment for central nervous system lymphoma. Nystagmus developed without evidence of a brainstem lesion on magnetic resonance imaging. This case expands the causes of seesaw nystagmus and lends further support to the notion that midbrain lesions are not a prerequisite for its development.
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