Medial longitudinal fasciculus syndrome associated with a subdural hygroma and an arachnoid cyst in the middle cranial fossa.
A 60-year-old man complaining of diplopia and vertigo showed bilateral medial longitudinal fasciculus (MLF) syndrome. The CT scan revealed a space-occupying lesion with watery fluid in the left cranial fossa, which was divided into two parts by a thin septum. Surgical trepanation was performed followed by 4 weeks of prednisolone therapy. He was completely cured 5 months later. The plausible causes of MLF syndrome relevant to preexisting space-occupying lesions are discussed.
Minamori
Y
Y
Department of Internal Medicine, Kanayama Municipal Hospital, Gifu, Japan.
Yamamoto
M
M
Tanaka
A
A
Kanai
K
K
Uenishi
H
H
Tanaka
M
M
Hayashi
K
K
Tsuji
K
K
Wakahara
M
M
D016080:Arachnoid Cysts / Q000150:complications* / Q000473:pathology; D006408:Hematoma, Subdural / Q000150:complications* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000150:complications* / Q000473:pathology; D013577:Syndrome