| Title |
Unilateral Thalamic Infarction and Vertical Gaze Palsy |
| Creator |
van der Graaff, MM; Vanneste, JA; Davies, GA |
| Affiliation |
Department of Neurology, St. Lucas Andreas Hospital, Amsterdam, The Netherlands. |
| Abstract |
Although vertical gaze palsy (VGP) is commonly associated with lesions of the rostral mesencephalon, there is some evidence that VGP may also be caused by a unilateral thalamic lesion. The case of a 68-year-old man with persistent upward gaze palsy after a unilateral thalamic infarction, demonstrated on computed tomography and magnetic resonance imaging scans, is presented. Subsequent high-resolution magnetic resonance scanning, however, showed involvement of the rostral mesencephalon as well. The authors suggest that in previous patients with VGP ascribed to a unilateral thalamic infarction, a coexisting mesencephalic involvement may have been missed because of inappropriate imaging techniques. Strong evidence of unilateral thalamic infarction as a cause of VGP is still lacking. |
| Subject |
Older people; Brain Infarction/complications; Brain Infarction/diagnosis; Humans; Magnetic Resonance Imaging; Male; Mesencephalon/pathology; Ocular Motility Disorders/complications; Ocular Motility Disorders/diagnosis; Ocular Motility Disorders/etiology; Thalamic Diseases/complications; Thalamic Diseases/diagnosis; Tomography, X-Ray Computed |
| 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 |
225033 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s60p452w/225033 |
