Dorsal midbrain syndrome in multiple sclerosis.
Complaining only of vertical diplopia, a 34-year-old woman had pupillary light-near dissociation, upward gaze paresis, convergence-retraction nystagmus, and skew deviation. Cranial computerized tomography excluded a space-occupying lesion. Additional history and examination established the diagnosis of clinically definite multiple sclerosis. Dorsal midbrain syndrome due to multiple sclerosis rare.
D000328:Adult; D001927:Brain Diseases / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008636:Mesencephalon; D009103:Multiple Sclerosis / Q000175:diagnosis*; D009759:Nystagmus, Pathologic / Q000175:diagnosis; D010243:Paralysis / Q000175:diagnosis; D013577:Syndrome; D014786:Vision Disorders / Q000175:diagnosis