Brainstem Infarction with Wall-eyed Bilateral Internuclear Ophthalmoplegia Syndrome and Vertical One-and-a-Half Syndrome

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• 作者：Nobuhito Nakajima ; MD^&lowast ; ; ^{s7066@nms.ac.jp" class="auth_mail} ; Masayuki Ueda ; MD ; PhD^&dagger ; ; Yasuo Katayama ; MD ; PhD^&dagger ;
• 关键词：Wall-eyed bilateral internuclear ophthalmoplegia syndrome ; vertical one-and-a-half syndrome ; ischemic stroke ; cardiogenic embolism
• 刊名：Journal of Stroke and Cerebrovascular Diseases
• 出版年：April, 2014
• 年：2014
• 卷：23
• 期：4
• 页码：e291-e293
• 全文大小：403 K

文摘

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.