| Identifier |
walsh_1989_s2_c4 |
| Title |
Sustained Upgaze in Coma |
| Creator |
Stephen E. Thurston, MD; R. F. Saul, MD |
| Affiliation |
(SET) (RFS) Geisinger Medical Center, Danville, PA |
| 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 |
| References |
Attached |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
1989 Walsh Proceedings |
| Relation is Part of |
1989 Walsh Session, February 10-11 |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Walsh Session Annual Meeting Archives: https://novel.utah.edu/Walsh/ |
| Publisher |
North American Neuro-Ophthalmology Society |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| 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 |
| Setname |
ehsl_novel_fbw |
| ID |
177807 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6hm5c6h |
