[Combined lateral gaze palsy with unilateral internuclear ophthalmoplegia in high mesencephalic-pontine hemorrhage. Report of a case].
The authors report a case of right midbrain and high pons haemorrhage with complete external ophthalmoplegia, except bilateral convergence, voluntary and automatic-reflex abduction of the left eye and adduction of this eye with vestibulo-ocular reflex ("one-and-a-half syndrome"). There is voluntary-automatic dissociation of the eyelids motricity and the vertical gaze. Still, there is sensitive-motor hemiplegia at left and asterixis.
D002543:Cerebral Hemorrhage / Q000150:complications* / Q000000981:diagnostic imaging; D005133:Eye Movements; D005260:Female; D006801:Humans; D008636:Mesencephalon / Q000098:blood supply*; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000209:etiology* / Q000503:physiopathology; D011149:Pons / Q000098:blood supply*; D012027:Reflex, Vestibulo-Ocular; D014057:Tomography, X-Ray Computed
Paralisia do olhar conjugado lateral associada a oftalmoplegia internuclear unilateral em hemorragia mesencéfalo-pontina alta. Relato de um caso.