Eye movements in REM sleep could be controlled by the same conjugate system while awake

We describe the impairment of eye movements during REM sleep in a patient with internuclear ophthalmoplegia. A 75-year-old woman, complaining of acute unsteady gait and diplopia, was diagnosed to have right medial longitudinal fasciculus (MLF) syndrome with limited adduction of the right eye. Overni...

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Veröffentlicht in:Sleep medicine 2002-09, Vol.3 (5), p.433-435
Hauptverfasser: Kimura, Kaku, Tachibana, Naoko, Otsuka, Yoshinobu, Waki, Riichiro
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container_title Sleep medicine
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creator Kimura, Kaku
Tachibana, Naoko
Otsuka, Yoshinobu
Waki, Riichiro
description We describe the impairment of eye movements during REM sleep in a patient with internuclear ophthalmoplegia. A 75-year-old woman, complaining of acute unsteady gait and diplopia, was diagnosed to have right medial longitudinal fasciculus (MLF) syndrome with limited adduction of the right eye. Overnight polysomnography revealed the same impairment of right adductive ocular movement during REM sleep. Our findings suggest that the MLF mediates lateral conjugation of eye movements during REM sleep as well as voluntary lateral conjugate eye movements during wakefulness.
doi_str_mv 10.1016/S1389-9457(02)00041-2
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subjects Eye movement
Internuclear ophthalmoplegia
Medial longitudinal fasciculus
Midbrain infarction
Polysomnography
REM sleep
title Eye movements in REM sleep could be controlled by the same conjugate system while awake
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