Acute Isolated Bilateral Gaze Palsy Revealing Neuromyelitis Optica Spectrum Disorder Rhomboencephalitis

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Identifier 20230312_nanos_posters_105
Title Acute Isolated Bilateral Gaze Palsy Revealing Neuromyelitis Optica Spectrum Disorder Rhomboencephalitis
Creator Hetal Ray; Walid Bouthour; Avital Lily Okrent; Caroline Froment Tilikete; Nancy Newman; Valerie Biousse
Affiliation (HR) (ALO) Emory University School of Medicine; (WB) Department of Ophthalmology, Emory University School of Medicine, Atlanta, GA; (CFT) Neuro-Ophthalmology Unit, Neurological Hospital, Hospices Civils de Lyon, Lyon, France; (NN) Departments of Ophthalmology, Neurology, and Neurological Surgery, Emory University School of Medicine, Atlanta, GA; (VB) Departments of Ophthalmology and Neurology, Emory University School of Medicine, Atlanta, GA
Subject Ocular Motility; Demeylinating Disease
Description Isolated bilateral horizontal gaze palsy (BHGP) caused by bilateral dysfunction of the pontine paramedian reticular formation (PPRF) with sparing of the horizontal oculocephalic reflex is unusual, and BHGP are almost always associated with bilateral peripheral cranial nerve 7 palsies. We present a case of isolated BHGP as the presenting sign of neuromyelitis optica spectrum disorder (NMOSD).
Date 2023-03-14
References 1. Kim et al; MRI characteristics of neuromyelitis optica spectrum disorder: an international update. Neurology, 17;84(11):1165-73, 2015. 2. Banks et al; Brainstem and cerebellar involvement in MOG-IgG-associated disorder versus aquaporin-4-IgG and MS. J Neurol Neurosurg Psychiatry, 325121, 2020. 3. Tan E, Kansu T; Bilateral horizontal gaze palsy in multiple sclerosis. J Clin Neuroophthalmol, 10(2):124-6, 1990. 4. Kipfer, Crook; Isolated bilateral horizontal gaze palsy as first manifestation of multiple sclerosis. Mult Scler, 20(6):754-5, 2014. 5. Akhavan, Etemadifar, Salari; Complete horizontal gaze palsy due to bilateral paramedian pontine reticular formation involvement as a presentation of multiple sclerosis: a case report. BMC Neurol, 19(1):254, 2019.
Language eng
Format application/pdf
Type Text
Source 2023 North American Neuro-Ophthalmology Society Annual Meeting
Relation is Part of NANOS Annual Meeting 2023: Poster Session I: Ocular Motility Disorders and Nystagmus
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Rights Management Copyright 2023. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6rhf6kn
Setname ehsl_novel_nam
ID 2335311
Reference URL https://collections.lib.utah.edu/ark:/87278/s6rhf6kn
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