Upward and downward gaze palsy with a unilateral mesencephalic hemorrhage
Rodríguez-Gómez, J.; Colás, J.; Aragón, A.; Albo, M.I.; Casado, F.
Revista de Neurologia 30(4): 324-326
2000
ISSN/ISBN: 0210-0010 PMID: 10789140 Document Number: 519270
Acute vascular lesions limited to the midbrain can yield varied disturbances of eye movements. They are more often infarcts than hemorrhages. We present the case of a 49 year old, non-hypertensive man who presented with sudden onset of bilateral up and down gaze palsy. CT defined a unilateral hemorrhage in the right mesencephalic tegmentum. Cases of upward and downward gaze palsy in association with unilateral upper midbrain hemorrhage are very uncommon. We present a new case.