Literature DB >> 16966933

Unilateral midbrain infarction causing upward and downward gaze palsy.

Murat Alemdar1, Senol Kamaci, Faik Budak.   

Abstract

We report on a 47-year-old-woman who developed sudden complete loss of vertical saccades, smooth pursuit, and vestibular eye movements bilaterally. MRI revealed a unilateral midbrain infarct involving the rostral interstitial nucleus of the medial longitudinal fasciculus (riMLF) and the interstitial nucleus of Cajal (INC) and spared the posterior commissure (PC). The lesion is presumed to have interrupted the pathways involved in vertical gaze just before they decussate, inducing an anatomically unilateral but functionally bilateral lesion. Previous reports of bidirectional vertical gaze palsy have shown lesions involving the PC or both riMLFs. This case is the first to show that a unilateral lesion of the riMLF and the INC that spares the PC may cause complete bidirectional vertical gaze palsy.

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Year:  2006        PMID： 16966933     DOI： 10.1097/01.wno.0000235588.18169.de

Source DB:  PubMed          Journal:  J Neuroophthalmol        ISSN： 1070-8022            Impact factor:   3.042


  9 in total

1.  Conjugate downward and upward vertical gaze palsy due to unilateral rostral midbrain infarction.

Authors:  D Pothalil; M Gille
Journal:  J Neurol       Date:  2011-10-08       Impact factor: 4.849

Review 2.  Disorders of saccades.

Authors:  Matthew J Thurtell; Robert L Tomsak; R John Leigh
Journal:  Curr Neurol Neurosci Rep       Date:  2007-09       Impact factor: 5.081

3.  Detection of third and sixth cranial nerve palsies with a novel method for eye tracking while watching a short film clip.

Authors:  Uzma Samadani; Sameer Farooq; Robert Ritlop; Floyd Warren; Marleen Reyes; Elizabeth Lamm; Anastasia Alex; Elena Nehrbass; Radek Kolecki; Michael Jureller; Julia Schneider; Agnes Chen; Chen Shi; Neil Mendhiratta; Jason H Huang; Meng Qian; Roy Kwak; Artem Mikheev; Henry Rusinek; Ajax George; Robert Fergus; Douglas Kondziolka; Paul P Huang; R Theodore Smith
Journal:  J Neurosurg       Date:  2014-12-12       Impact factor: 5.115

4.  Vertical Gaze Palsy Caused by Selective Unilateral Rostral Midbrain Infarction.

Authors:  Misato Yokose; Kohei Furuya; Masayuki Suzuki; Tadashi Ozawa; Younhee Kim; Kumiko Miura; Kosuke Matsuzono; Takafumi Mashiko; Mari Tada; Reiji Koide; Haruo Shimazaki; Tohru Matsuura; Shigeru Fujimoto
Journal:  Neuroophthalmology       Date:  2018-01-09

5.  Isolated upgaze palsy in a patient with vertebrobasilar artery dolichoectasia; a case report.

Authors:  Huseyin Ortak; Ufuk Tas; Durdane Bekar Aksoy; Erdoğan Ayan
Journal:  J Ophthalmic Vis Res       Date:  2014-01

6.  Acute Bilateral Supranuclear Vertical Gaze Palsy: Vertical One-and-a-one Syndrome - Report of Three Cases.

Authors:  Rohan R Mahale; Kiran Buddaraju; Anish Mehta; Mahendra Javali; Purushottam Acharya; Rangasetty Srinivasa
Journal:  J Neurosci Rural Pract       Date:  2017 Apr-Jun

7.  Unilateral asterixis, thalamic astasia and vertical one and half syndrome in a unilateral posterior thalamo-subthalamic paramedian infarct: An interesting case report.

Authors:  Subasree Ramakrishnan; Veera Rajkumar Narayanaswamy
Journal:  J Neurosci Rural Pract       Date:  2013-04

8.  Profile of Gaze Dysfunction following Cerebrovascular Accident.

Authors:  Fiona J Rowe; David Wright; Darren Brand; Carole Jackson; Shirley Harrison; Tallat Maan; Claire Scott; Linda Vogwell; Sarah Peel; Nicola Akerman; Caroline Dodridge; Claire Howard; Tracey Shipman; Una Sperring; Sonia Macdiarmid; Cicely Freeman
Journal:  ISRN Ophthalmol       Date:  2013-10-10

9.  Bilateral, vertical supranuclear gaze palsy following unilateral midbrain infarct.

Authors:  Yunfei Yang; Umair Qidwai; Benjamin J L Burton; Carlo Canepa
Journal:  BMJ Case Rep       Date:  2020-11-04
  9 in total

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