[Upward and downward gaze palsy with a unilateral mesencephalic hemorrhage].
BACKGROUND
Acute vascular lesions limited to the midbrain can yield varied disturbances of eye movements. They are more often infarcts than hemorrhages.


METHODS
We present the case of a 49 year old, non-hypertensive man who presented with sudden onset of bilateral up and down gaze palsy. CT defined a unilateral hemorrhage in the right mesencephalic tegmentum.


CONCLUSIONS
Cases of upward and downward gaze palsy in association with unilateral upper midbrain hemorrhage are very uncommon. We present a new case.
Rodríguez-Gómez
J
J
Unidad de Neurología, Hospital Nuestra Señora del Prado, Talavera de la Reina, Toledo, España. jatenza@JCCM.es
Colás
J
J
Aragón
A
A
Albo
M I
MI
Casado
F
F
D002543:Cerebral Hemorrhage / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008636:Mesencephalon / Q000000981:diagnostic imaging / Q000473:pathology; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000175:diagnosis / Q000209:etiology*; D012438:Saccades / Q000502:physiology*; D014057:Tomography, X-Ray Computed