Correlation of clinical and neuroradiological findings in down-gaze palsy.
BACKGROUND
Isolated down-gaze palsy is the least common pathology of vertical gaze. Patients with low-gaze palsy may consult an ophthalmologist with difficulty in reading and this may be the only ocular finding of a central nervous system lesion.


METHODS
A 43-year-old man with isolated down-gaze palsy was examined. The medical history of the patient revealed that he had had myocardial infarction.


RESULTS
Magnetic resonance imaging disclosed an ischemic area at the right thalamus.


CONCLUSIONS
Down-gaze palsy may be an important sign for the diagnosis of thalamic infarctions due to embolic syndrome.
Onder
F
F
Ankara Numune Hospital, Eye Clinic 1, Turkey.
Can
I
I
Coşar
C B
CB
Kural
G
G
D000328:Adult; D001921:Brain / Q000473:pathology*; D002545:Brain Ischemia / Q000175:diagnosis*; D005133:Eye Movements; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009886:Ophthalmoplegia / Q000175:diagnosis*; D013786:Thalamic Diseases / Q000175:diagnosis*