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J Stroke Cerebrovasc Dis. 2014 Apr;23(4):e291-3. doi: 10.1016/j.jstrokecerebrovasdis.2013.11.012. Epub 2014 Jan 11.

Brainstem infarction with wall-eyed bilateral internuclear ophthalmoplegia syndrome and vertical one-and-a-half syndrome.

Author information

1
Department of Neurology, Kitamurayama Public Hospital, Japan. Electronic address: s7066@nms.ac.jp.
2
Department of Neurology, Nippon Medical School, Japan.

Abstract

We describe a rare case in which both wall-eyed bilateral internuclear ophthalmoplegia syndrome and vertical one-and-a-half syndrome were observed in a 68-year-old man with acute ischemic stroke. Concurrent horizontal and vertical gaze palsies are rare because the corresponding gaze centers are anatomically separated. The complicated gaze palsies observed in this patient might have resulted from long, vertical lesions affecting oculomotor pathways for both sides of the brain stem.

KEYWORDS:

Wall-eyed bilateral internuclear ophthalmoplegia syndrome; cardiogenic embolism; ischemic stroke; vertical one-and-a-half syndrome

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