Study on Isolated Vertical Ophtalmoplegia and Mydriasis Due to Bilateral Midbrain Infarction | Chapter 17 | New Frontiers in Medicine and Medical Research Vol. 10

 Partial fascicular oculomotor palsy, which is characterised by bilateral midriasis and loss of vertical gaze movements, is an uncommon complication of midbrain infarction. The only neurological anomaly in this patient was marked vertical gaze palsy and mydriasis bilaterally, due to acute ischemic infarcts encompassing the highest parts of the midbrain. Particular fascicular oculomotor palsies involving the pupil, inferior rectus, superior rectus, inferior oblique muscles, and sparing the medial rectus and levator palpebrae muscles are suggested by these traits. The fibres to the medial rectus and levator palpebrae muscles may be situated in the more caudal portion of the oculomotor fascicles, according to our neuro-ophthalmological and radiological results.

Author (S) Details

F. Budak
Department of Neurology, Medical Faculty of Kocaeli University, Turkey.

E. Aydin
Department of Neurology, Medical Faculty of Kocaeli University, Turkey.

A. Kockaya
Department of Neurology, Medical Faculty of Kocaeli University, Turkey.

B. Ozkara
Department of Neurology, Medical Faculty of Kocaeli University, Turkey.

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