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 |