Multiple sclerosis presenting as Parinaud syndrome.
The authors report a patient presenting with a 1-week history of paresis of upward gaze as his initial manifestation of demyelinating disease. They stress that: 1) multiple sclerosis can present as Parinaud syndrome (paralysis of upward gaze); and 2) it is important to rule out a non-contour-deforming intraaxial midbrain lesion if a posterior third ventricle or pineal region mass is not identified on screening studies in these patients.
Quint
D J
DJ
Department of Radiology, University of Michigan Hospitals, Ann Arbor 48109-0030.
Cornblath
W T
WT
Trobe
J D
JD
D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D015835:Ocular Motility Disorders / Q000209:etiology*; D011859:Radiography; D013577:Syndrome