[Alternating oblique deviation of the gaze. 3 cases]
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Updated: Sep 14, 2026

Three Dimensional Vestibular Ocular Reflex Testing Using a Six Degrees of Freedom Motion Platform
Published on: May 23, 2013
Abstract:
Three cases of alternating skew deviation of gaze are reported. In two patients, it was associated with oculomotor disorders suggestive of a medial mesencephalic lesion. CT scan showed 3rd ventricule abnormalities accounting for the mesencephalic involvement. The third patient had a tuberculous meningo-encephalitis with basal symptoms. The pathophysiological mechanisms of the vertical interocular divergence is discussed. It was probably related to a bilateral disorder of the superior recti and an overaction of the inferior obliques. It suggested a medial supranuclear dysfunction.
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