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TEK TARAFLI MEZENSEFALON İNFARKTINA BAĞLI VERTİKAL BAKIŞ PARALİZİSİ

VERTICAL GAZE PALSY DUE TO UNILATERAL MIDBRAIN INFARCTION

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 2010

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
We report a 52 years old male patient who developed acute onset diplopia and vertigo. Neurological examination revealed combined upward and donward gaze palsy and his MRI scan displayed a small unilateral lesion in the right midbrain. The lesion is presumed to have interrupted the pathways involved in vertical gaze palsy just before decussation producing a functionally bilateral lesion. In this case, we would like to question whether there is a right sided dominance in the pathways controlling the vertical gaze.
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Abstract (Original Language): 
Bu olgu sunumunda ani baĢlangıçlı diplopi ve vertigo yakınmaları olan 52 yaĢında bir erkek hasta bildirilmiĢtir. Nörolojik muayenesinde yukarı ve aĢağı bakıĢ paralizisi saptanan hastanın kranial MR görüntülemesinde, sağ mezensefalonda küçük, tek taraflı bir lezyon izlendi. Bu lezyonun, vertikal bakıĢı ilgilendiren yolakları, çaprazlaĢmadan hemen önce engelleyerek fonksiyonel olarak bilateral klinik bulgulara yol açtığı düĢünüldü ve vertikal bakıĢı düzenleyen yolaklarda sağ taraf baskınlığının olup olmadığı tartıĢıldı.
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  • 2
55-57
  • English

REFERENCES

References: 

1. Alemdar M, Kamacı S, Budak F. Unilateral midbrain infarction causing upward and downward gaze palsy. J Neuro-Ophthalmology 2006; 26:173-6.
2. Bhidayasiri R, Plant GT, Leigh RJ. A Hypothetical scheme fort he brainstem control of vertical gaze. Neurology 2000; 23;54: 1985-93.
3. Bogousslavsky J, J Miklossy, F Regli, R Janzer. Vertical gaze palsy and selective unilateral infarction of the rostral interstitial nucleus of the medial longitudinal fasciculus (riMLF) Journal of Neurology, Neurosurgery, and Psychiatry 1990; 53:67-71.
4. Büttner-Ennever JA, Büttner U, Cohen B, Baumgartner G: Vertical gaze paralysis and the rostral interstitial nucleus of the medial longitudinal fasciculus. Brain 1982; 105-125.
5. Collier J. Nuclear ophthalmoplegia, with especial reference to retraction of the lids and ptosis and to lesions of the posterior commissure. Brain 1927;50:188-98.
6. Crawford JD, Cadera W,Vilis T. Generation of torsional and vertical eye position signals by the interstitial nucleus of Cajal. Science 1991; 252:1551-1553.
7. Helmchen C, Rambold H, Fuhry L, Büttner U. Deficits in vertical and torsional eye movements after uni and bilateral muscimol inactivation of the interstitial nucleus of Cajal (IC) of the alert monkey. Exp Brain Res 1998;119:436-452.
8. Suzuki Y, Büttner-Ennever JA, Straumann D, Hepp K, Hess BJ, Henn V. Deficits in torsional and vertical rapid eye movements and shift of Listing‟s plane after uni- and bilateral lesions of the rostral interstitial nucleus of the medial longitudinal fasciculus. Exp Brain Res 1995;106:215-232.

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