Al-Bahar Ophthalmology Center, Kuwait City, Kuwait
Subject
Square Wave Jerks; Contrapulsion
Description
A patient with history of brain stem stroke 2 months ago (right hemifacial anesthesia , left sided weakness and bulbar symptoms dysphagia) comes complaining of oscillipsia , binocular vertical diplopia). On exam he had a vertical tropia of 3-4 PD (Skew deviation), dissociated nystagmus , and saccadic intrsusions (sqaure wave jerks).