Oculomotor synkinesis following a midbrain stroke.
A 33-year-old man developed a complete third nerve palsy in the setting of acute bacterial endocarditis. MRI revealed an ischemic stroke in the cerebral peduncle involving the third nerve fascicle. Subsequently, he was observed to have paradoxic elevation of the eyelid on adduction and downgaze. To the authors' knowledge, this is the first demonstration of oculomotor synkinesis after an acquired, ischemic CNS lesion.
Messé
S R
SR
Division of Neuro-ophthalmology, Department of Neurology, University of Pennsylvania Medical Center, Philadelphia, PA 19104-4283, USA.
Shin
R K
RK
Liu
G T
GT
Galetta
S L
SL
Volpe
N J
NJ
D000328:Adult; D001024:Aortic Valve Stenosis / Q000175:diagnosis; D001931:Brain Mapping; D002544:Cerebral Infarction / Q000175:diagnosis*; D004697:Endocarditis, Bacterial / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008636:Mesencephalon / Q000473:pathology*; D009460:Neurologic Examination; D015840:Oculomotor Nerve Diseases / Q000175:diagnosis*; D013681:Tegmentum Mesencephali / Q000473:pathology