[Nuclear oculomotor nerve syndrome and ocular tilt reaction caused by mesencephalic hematoma].
A 78-year-old man had a midbrain hemorrhage, documented by CT scan and MRI, resulting in a mild cerebellar syndrome predominant on the left upper limb, lateropulsion, and a complex ocular motor syndrome. The latter was associated with right nuclear oculomotor nerve palsy, gaze paresis to the left for voluntary saccades, and a tonic ocular tilt reaction. Pathophysiological mechanisms are discussed.
Nighoghossian
N
N
Service de Neurologie B, Hôpital Neurologique P. Wertheimer, Lyon.
Vighetto
A
A
Trouillas
P
P
D000368:Aged; D002543:Cerebral Hemorrhage / Q000150:complications*; D006406:Hematoma / Q000150:complications*; D006801:Humans; D008297:Male; D008636:Mesencephalon; D015835:Ocular Motility Disorders / Q000209:etiology / Q000503:physiopathology; D015840:Oculomotor Nerve Diseases / Q000209:etiology* / Q000503:physiopathology; D009886:Ophthalmoplegia / Q000209:etiology* / Q000503:physiopathology
Syndrome nucléaire du nerf moteur oculaire commun et réaction d'inclinaison oculaire: par hématome mésencéphalique.