Vertical Head Thrusting in Acquired Supranuclear Vertical Ophthalmoplegia

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Title Vertical Head Thrusting in Acquired Supranuclear Vertical Ophthalmoplegia
Creator Yeon-Hee Lee, MD; Seong-Hae Jeong, MD; Hyo-Jung Kim, PhD; Jeong-Min Hwang, MD, PhD; Woohyuk Lee, MD; Ji-Soo Kim, MD, PhD
Affiliation Departments of Ophthalmology (Y-HL, WL) and Neurology (S-HJ), Chungnam National University College of Medicine, Daejeon, Korea Research Administration Team, Seoul National University Bundang Hospital (H-JK), Seongnam, Korea Departments of Ophthalmology (J-MH) and Neurology (J-SK), Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
Abstract Patients with congenital ocular motor apraxia (OMA) typically show head thrusts while attempting to shift gaze. In congenital OMA, this compensatory head motion mostly occurs in the horizontal plane. Two patients with acquired palsy of voluntary vertical gaze and continuous upward gaze deviation, one from aortic surgery and the other from multiple infarctions involving the mesodiencephalic junction, showed intermittent downward head thrusting to redirect the eyes straight ahead or downward. The head thrusting behavior improved markedly after surgical correction of the upward gaze deviation in one patient. Vertical head thrusting may be a characteristic sign of acquired vertical gaze palsy when combined with vertical gaze deviation.
Subject Adult; Diagnosis, Differential; Eye Movements; Head Movements; Humans; Hypoxia, Brain; Magnetic Resonance Imaging; Male; Middle Older people; Supranuclear Palsy, Progressive
OCR Text Show
Date 2017-12
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Source Journal of Neuro-Ophthalmology, December 2017, Volume 37, Issue 4
Collection Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s6s514r8
Setname ehsl_novel_jno
ID 1400787
Reference URL https://collections.lib.utah.edu/ark:/87278/s6s514r8
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