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Paralysis of downgaze in two patients with clinical-radiologic correlation
J P Green1, N J Newman, J S Winterkorn
1Department of Ophthalmology, Emory University School of Medicine, Atlanta, Ga.
Archives of Ophthalmology (Chicago, Ill. : 1960)
|February 1, 1993
Abstract:
Selective downgaze paralysis was correlated with discrete bilateral lesions at the mesencephalic-diencephalic junction in a 9-year-old girl following severe pneumococcal meningitis, and in a 64-year-old man who suffered an embolic infarction. Magnetic resonance imaging demonstrated bilateral lesions in the region of the rostral interstitial nucleus of the medial longitudinal fasciculus. Clinical-radiologic correlation allowed identification of the likely vascular cause in both patients.