Sustained Upgaze in Coma

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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
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