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Vertical Head Thrusting in Acquired Supranuclear Vertical Ophthalmoplegia.
- Source :
-
Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society [J Neuroophthalmol] 2017 Dec; Vol. 37 (4), pp. 386-389. - Publication Year :
- 2017
-
Abstract
- Patients with congenital ocular motor apraxia (OMA) typically show head thrusts while attempting to shift gaze. In congenital OMA, this compensatory head motion mostly occurs in the horizontal plane. Two patients with acquired palsy of voluntary vertical gaze and continuous upward gaze deviation, one from aortic surgery and the other from multiple infarctions involving the mesodiencephalic junction, showed intermittent downward head thrusting to redirect the eyes straight ahead or downward. The head thrusting behavior improved markedly after surgical correction of the upward gaze deviation in one patient. Vertical head thrusting may be a characteristic sign of acquired vertical gaze palsy when combined with vertical gaze deviation.
- Subjects :
- Adult
Diagnosis, Differential
Humans
Hypoxia, Brain diagnosis
Magnetic Resonance Imaging
Male
Middle Aged
Supranuclear Palsy, Progressive diagnosis
Supranuclear Palsy, Progressive etiology
Eye Movements physiology
Head Movements physiology
Hypoxia, Brain complications
Supranuclear Palsy, Progressive physiopathology
Subjects
Details
- Language :
- English
- ISSN :
- 1536-5166
- Volume :
- 37
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
- Publication Type :
- Academic Journal
- Accession number :
- 28376021
- Full Text :
- https://doi.org/10.1097/WNO.0000000000000506