Ocular Tilt Reaction with Vertical Eye Movement Palsy Caused by Localized Unilateral Midbrain Lesion

Update Item Information
Title Journal of Neuro-Ophthalmology, March 1998, Volume 18, Issue 1
Date 1998-03
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s61p1668
Setname ehsl_novel_jno
ID 224883
Reference URL https://collections.lib.utah.edu/ark:/87278/s61p1668

Page Metadata

Title Ocular Tilt Reaction with Vertical Eye Movement Palsy Caused by Localized Unilateral Midbrain Lesion
Creator Ohashi, T; Fukushima, K; Chin, S; Harada, T; Yoshida, K; Akino, M; Matsuda, H
Affiliation Department of Ophthalmology, Hokkaido University School of Medicine, Sapporo, Japan.
Abstract A 60-year-old man developed diplopia and experienced difficulty moving his eyes. Vertical movement of each eye, including vestibulo-ocular reflex and smooth pursuit, was extremely limited. Horizontal eye movements were normal. His head position was tilted toward his left. There was 10 prism diopters of exotropia and 10 prism diopters of right hypertropia. Fundus photographs revealed a clockwise torsion of both eyes. These signs indicate leftward ocular tilt reaction. Magnetic resonance imaging showed a small area of an increased signal intensity localized in the midbrain dorsomedial to the red nucleus on the right side. Based on recent experimental evidence, it may be assumed that the unilateral lesion involving the right interstitial nucleus of Cajal most probably caused leftward ocular tilt reaction in our patient.
Subject Cerebral Hemorrhage/complications; Cerebral Hemorrhage/diagnosis; Diplopia/etiology; Head; Humans; Magnetic Resonance Imaging; Male; Mesencephalon/pathology; Middle Older people; Ocular Motility Disorders/etiology; Posture; Pursuit, Smooth; Reflex, Vestibulo-Ocular
OCR Text Show
Format application/pdf
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890
Setname ehsl_novel_jno
ID 224874
Reference URL https://collections.lib.utah.edu/ark:/87278/s61p1668/224874