Monocular Elevation Paresis Caused by an Oculomotor Fascicular Impairment

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Title Journal of Neuro-Ophthalmology, March 1995, Volume 15, Issue 1
Date 1995-03
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
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/s6v4419m
Setname ehsl_novel_jno
ID 224628
Reference URL https://collections.lib.utah.edu/ark:/87278/s6v4419m

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Title Monocular Elevation Paresis Caused by an Oculomotor Fascicular Impairment
Creator Gauntt, CD; Kashii, S; Nagata, I
Affiliation Department of Ophthalmology, Faculty of Medicine, Kyoto University, Japan.
Abstract A 54-year-old man developed an acquired monocular elevation paresis. Forced lid closure or oculocephalic reflexes failed to elevate the affected eye in contrast to the contralateral eye, which turned fully upward using either maneuver. A mass lesion compressing the lateral aspect of the right oculomotor nerve at the exit of the brainstem was found. The monocular elevation paresis in this patient reflects damage of the oculomotor nerve fascicles that supply the inferior oblique and superior rectus muscles. This case supports the accepted topographical fascicular arrangement of the oculomotor nerve, with the inferior oblique and superior rectus being the most lateral and caudal, and the pupilloconstrictor fibers and the inferior rectus being most medial and rostral.
Subject Brain/pathology; Cranial Nerve Neoplasms/complications; Cranial Nerve; Neoplasms/diagnosis; Eye/innervation; Eye Movements; Fasciculation/complications; Hemangioma/complications; Hemangioma/diagnosis; Humans; Magnetic Resonance Imaging; Male; Middle Older people; Ocular Motility Disorders/etiology; Oculomotor Nerve/pathology; Paresis/etiology; Vision, Monocular
OCR Text Show
Format application/pdf
Publication Type Journal Article
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
Setname ehsl_novel_jno
ID 224616
Reference URL https://collections.lib.utah.edu/ark:/87278/s6v4419m/224616
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