Conjugate eye deviation due to traumatic striatal-subthalamic lesion.
We report the case of a 22-year-old man after severe cranial trauma, who was noted to have conjugate eye deviation (CED) to the left. A magnetic resonance imaging (MRI) scan demonstrated a lesion in the left (ipsilateral) striatal-subthalamic region. The involvement of supranuclear fibres from the left frontal eye field (FEF) traveling to the right parapontine reticular formation (PPRF) could explain this clinical finding. Alternatively, involvement of deep brain nuclei, such as the striatum and the subthalamic nucleus, could be responsible for this phenomenon. This neurological presentation is unusual after severe cranial trauma.
Bartanusz
Viktor
V
Department of Neurosurgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
Daniel
Roy Thomas
RT
Villemure
Jean-Guy
JG
D000058:Accidental Falls; D000328:Adult; D001929:Brain Edema / Q000209:etiology / Q000473:pathology; D001930:Brain Injuries / Q000150:complications / Q000000981:diagnostic imaging; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D017072:Neostriatum / Q000293:injuries* / Q000473:pathology; D015835:Ocular Motility Disorders / Q000209:etiology*; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000473:pathology; D020530:Subthalamus / Q000293:injuries* / Q000473:pathology; D014057:Tomography, X-Ray Computed