J Korean Neurol Assoc.  2008 Aug;26(3):281-285.

Paroxysmal Horizontal Diplopia Related to Brainstem Lesion

Affiliations
  • 1Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. daewon@skku.edu

Abstract

Paroxysmal diplopia and dysarthria-ataxia have been reported in multiple sclerosis, stroke and Behcet's disease. We present a case of 25-year-old man with multiple brain lesions, who developed paroxysmal horizontal dysconjugate eyeball deviation, dysarthria and ataxia. Subtraction ictal SPECT co-registered to MR images demonstrated hyperperfusion in the brainstem and cerebellum during the paroxysms.

Keyword

Brainstem; Cerebellum; Diplopia; Ataxia; Hypermetabolism

MeSH Terms

Adult
Ataxia
Brain
Brain Stem
Cerebellum
Diplopia
Dysarthria
Humans
Multiple Sclerosis
Stroke
Tomography, Emission-Computed, Single-Photon
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