Ocular Lateropulsion Left AICA Stroke

82 year-old patient with basilar artery stenosis, she developed an acute left AICA stroke. On examination within 24 hours from symptom onset, she had primary gaze, unidirectional, right beat nystagmus and a positive left head impulse test. Brief periods of eyelid closure were associated with a h-CGD: OL type 2. The corrective centripetal saccade is rapid and precise without hypometria as it is usually noted in OL. associated with LOM or cerebellar lesions. The patient had progressive obtundation and the family decided in favor of comfort measures. OL lasted about 48 hours before she became non-responsive.; .