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Down gaze palsy due to periaqueductal lesion diagnosed by magnetic resonance imaging
N Ozdemir1, S Haciyakupoğlu, T R Ersöz
1Department of Ophthalmology, Cukurova University, Balcalì Hospital, Adana, Turkey.
Abstract:
Selective paralysis of downward gaze is known to be rare. There are 6 cases reported in the literature based on neuropathologic and anatomical studies. We report a 60-year-old diabetic and hypertensive patient with isolated down gaze palsy. Computed tomography failed to show the lesion in the periaqueductal region, and the diagnosis was made by Magnetic resonance imaging. The case presented is the only one still surviving.