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Positional oculogyric crises. Case report.

R F Heimburger¹

¹Department of Neurological Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China.

Journal of Neurosurgery

|December 1, 1988

Summary

A cystic glioma caused oculogyric crises and speech difficulty in a young woman when she lay on her back. Surgical drainage resolved these symptoms, even with cyst recurrence.

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Area of Science:

Neuroscience
Neurology
Neurosurgery

Background:

Cystic gliomas are rare brain tumors.
Posterior third ventricle tumors can cause unique neurological deficits.

Observation:

A young woman presented with oculogyric crises and aphonia upon assuming a supine position.
These symptoms were position-dependent, resolving when she lay on her side.

Findings:

The patient had a cystic glioma in the posterior third ventricle region.
Stereotactic drainage of the cystic fluid completely resolved the oculogyric crises and aphonia.

Implications:

This case highlights the potential for specific tumor locations to cause distinct neurological symptoms.
Stereotactic cyst drainage can be an effective treatment for symptomatic cystic gliomas.
Understanding the relationship between tumor location, cyst pressure, and neurological function is crucial for diagnosis and treatment.

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