Internuclear ophthalmoplegia, prenuclear paresis of contralateral superior rectus, and bilateral ptosis
Details
Serval ID
serval:BIB_ACFCFE7C2417
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Internuclear ophthalmoplegia, prenuclear paresis of contralateral superior rectus, and bilateral ptosis
Journal
Journal of Neurology
ISSN
0340-5354 (Print)
Publication state
Published
Issued date
1983
Volume
230
Number
3
Pages
197-203
Notes
Case Reports
Journal Article
Journal Article
Abstract
A patient with infarction of the paramedian part of the lower midbrain on the right side is described, in whom internuclear ophthalmoplegia and bilateral ptosis were associated with limitation of elevation of the contralateral eye from paresis of the superior rectus. Supranuclear paresis was suggested by partial dissociation between phasic and tonic components of upward gaze. It is suggested that the right-sided lesion involved the rostral median longitudinal fasciculus before it reached the oculomotor nucleus, the central caudal nucleus medially situated in the lower end of the oculomotor nucleus, and the prenuclear fibres from the posterior commissure to the ipsilateral nucleus of the contralateral superior rectus. A supranuclear lesion may be suspected when there is a complex association of dysconjugate palsy of oculomotor muscles.
Keywords
Blepharoptosis/*physiopathology
Cerebral Infarction/*physiopathology
Dominance, Cerebral/*physiology
Eye Movements
Female
Humans
Mesencephalon/*blood supply
Middle Aged
Oculomotor Muscles/*innervation
Oculomotor Nerve/physiopathology
Ophthalmoplegia/*physiopathology
Tomography, X-Ray Computed
Pubmed
Web of science
Create date
25/01/2008 12:45
Last modification date
20/08/2019 16:16