Sustained Upgaze in Coma

Update Item Information
Identifier walsh_1989_s2_c4
Title Sustained Upgaze in Coma
Creator Stephen E. Thurston
Subject Coma; Ocular Motility Disorders; Hypovolemia; Anoxia; Shock; Brain Infarction
History A 70-year old male with a history of diabetes and severe coronary artery disease underwent quadruple coronary artery bypass grafting. One hour post-operative the patient developed massive arterial bleeding from his drainage tube became hypotensive. After emergency repair of loose aortic anastomosis due to a broken suture he remained comatose.
Pathology Bilateral necrosis of the rostral mesencephalon; Cerebellar and cerebral changes consistent with hypoxia
Disease/Diagnosis Bilateral infarction in dorsolateral mesencephalic periaqueductal gray
Clinical Horizontal oculocepahlics full; Vertical oculocephalics absent and bilateral
Presenting Symptom Sustained upgaze in coma
Date 1989-02-11
References Attached
Language eng
Format application/pdf
Type Text
Source 1989 Walsh Proceedings
Relation is Part of Case presented at the NANOS 1989 Walsh Session, February 10-11
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Rights Management Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6hm5c6h
Contributor Primary Thurston, Stephen E.
Contributor Secondary Saul, Robert F.
Setname ehsl_novel_fbw
ID 177807
Reference URL https://collections.lib.utah.edu/ark:/87278/s6hm5c6h