Down gaze palsy due to periaqueductal lesion diagnosed by magnetic resonance imaging.
Selective paralysis of downward gaze is known to be rare. There are 6 cases reported in the literature based on neuropathologic and anatomical studies. We report a 60-year-old diabetic and hypertensive patient with isolated down gaze palsy. Computed tomography failed to show the lesion in the periaqueductal region, and the diagnosis was made by Magnetic resonance imaging. The case presented is the only one still surviving.
Department of Ophthalmology, Cukurova University, Balcalì Hospital, Adana, Turkey.
N
N
Ozdemir
S
S
Haciyakupoğlu
T R
TR
Ersöz
G
G
Haciyakupoğlu
M
M
Oğuz
D001927:Brain Diseases / Q000150:complications* / Q000175:diagnosis; D048909:Diabetes Complications; D005133:Eye Movements; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000209:etiology*; D010487:Periaqueductal Gray / Q000473:pathology*