J Clin Neurol.  2007 Dec;3(4):208-211. 10.3988/jcn.2007.3.4.208.

A Small Dorsal Pontine Infarction Presenting with Total Gaze Palsy Including Vertical Saccades and Pursuit

Affiliations
  • 1Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Korea. sukwon@amc.seoul.kr
  • 2Department of Neurology, Seoul National University, Bundang Hospital, Korea.

Abstract

A small localized infarction in the dorsal pontine area can cause various eye-movement disturbances, such as abducens palsy, horizontal conjugate gaze palsy, internuclear ophthalmoplegia, and one-and-a-half syndrome. However, complete loss of vertical saccades and pursuit with horizontal gaze palsy has not been reported previously in a patient with a small pontine lesion. We report a 67-year-old man with a small dorsal caudal pontine infarct who exhibited total horizontal gaze palsy as well as loss of vertical saccades and pursuit.

Keyword

Ophthalmoplegia; Pontine infarction; Omnipause neurons

MeSH Terms

Aged
Humans
Infarction*
Ocular Motility Disorders
Ophthalmoplegia
Paralysis*
Saccades*
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