Bilateral ptosis and supranuclear downgaze paralysis

Author:

Maranhão-Filho Péricles1,Campos João Carlos S.2,Lima Marco A.2

Affiliation:

1. Brazilian National Cancer Institute, Brazil; Federal University of Rio de Janeiro, Brazil

2. Brazilian National Cancer Institute, Brazil

Abstract

The purpose of this article is to highlight an uncommon combination of supranuclear downward gaze paralysis with bilateral eyelid ptosis in a 53-years-old man with a radiation induced midbrain tumor and to discuss the aspects regarding the centers and pathways that mediate supranuclear vertical gaze movements.

Publisher

FapUNIFESP (SciELO)

Subject

Neurology,Neurology (clinical)

Reference21 articles.

1. Parinaud syndrome: electro-oculographic and anatomical analyses of six vascular cases with deductions about vertical gaze organization in the premotor structures;Pierrot-Deseiligny CH;Brain,1982

2. Parinaud’s syndrome: historical note;Pearce JMS;J Neurol Neurosurg Psychiatry,2005

3. Nervous control of eyelid function: a review of clinical, experimental and pathological data;Schmidtke K;Brain,1992

4. Vertical gaze paralysis and the rostral intersticial nucleus of the medial longitudinal fasciculus;Büttner-Ennever JA;Brain,1982

5. Downgaze palsy and bilateral ptosis due to a thalamomesencephalic lesion;Johkuraa K;J Neurol Sci,1998

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