Correlation of clinical and neuroradiological findings in down-gaze palsy

Isolated down-gaze palsy is the least common pathology of vertical gaze. Patients with low-gaze palsy may consult an ophthalmologist with difficulty in reading and this may be the only ocular finding of a central nervous system lesion. A 43-year-old man with isolated down-gaze palsy was examined. Th...

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Veröffentlicht in:	Graefe's archive for clinical and experimental ophthalmology 2000-04, Vol.238 (4), p.369-371
Hauptverfasser:	ÖNDER, F, CAN, I, COSAR, C. B, KURAL, G
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Biological and medical sciences Brain - pathology Brain Ischemia - diagnosis Eye Movements Humans Magnetic Resonance Imaging Male Medical sciences Neurology Ophthalmoplegia - diagnosis Thalamic Diseases - diagnosis Vascular diseases and vascular malformations of the nervous system
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Zusammenfassung:	Isolated down-gaze palsy is the least common pathology of vertical gaze. Patients with low-gaze palsy may consult an ophthalmologist with difficulty in reading and this may be the only ocular finding of a central nervous system lesion. A 43-year-old man with isolated down-gaze palsy was examined. The medical history of the patient revealed that he had had myocardial infarction. Magnetic resonance imaging disclosed an ischemic area at the right thalamus. Down-gaze palsy may be an important sign for the diagnosis of thalamic infarctions due to embolic syndrome.
ISSN:	0721-832X 1435-702X
DOI:	10.1007/s004170050367