Pontine gaze paresis due to traumatic craniocervical hyperextension. Report of two cases.
Pontine gaze paresis is frequently due to tumor of the brain stem. Occasionally it may be caused by inflammation or ischemia. Two cases are reported, each with pontine gaze paresis and other signs of lower brain-stem injury, basal skull fractures, and second cervical vertebra fractures. This pattern of injuries is believed to be the result of craniocervical hyperextension with stretch injury to the brain stem at the junction of the medulla and pons.
D000063:Accidents, Traffic; D000328:Adult; D001930:Brain Injuries / Q000150:complications*; D005260:Female; D006801:Humans; D008526:Medulla Oblongata / Q000293:injuries; D009886:Ophthalmoplegia / Q000209:etiology*; D011149:Pons / Q000293:injuries*; D012125:Respiratory Center / Q000293:injuries; D012154:Reticular Formation / Q000293:injuries; D014949:Wounds, Nonpenetrating / Q000150:complications*