Abducens-oculomotor synkinesis associated with internuclear ophthalmoplegia and acquired abducens nerve palsy.
We report a case of acquired abducens-oculomotor synkinesis, internuclear ophthalmoplegia, and abducens nerve palsy following brainstem hemorrhage. Weakening surgery on the medial rectus muscle did not eliminate the synergistic movement. The mechanism responsible for the abducens-oculomotor synkinesis is discussed.
Wutthiphan
Sorot
S
Priest Hospital, Bangkok, Thailand.
Foster
Scott R
SR
Poonyathalang
Anuchit
A
Pongpech
Sirintara
S
D000010:Abducens Nerve / Q000002:abnormalities*; D020434:Abducens Nerve Diseases / Q000175:diagnosis / Q000209:etiology*; D000293:Adolescent; D001927:Brain Diseases / Q000150:complications; D001933:Brain Stem / Q000473:pathology; D002543:Cerebral Hemorrhage / Q000150:complications; D004172:Diplopia / Q000175:diagnosis / Q000209:etiology; D004576:Electromyography; D004948:Esotropia / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D015835:Ocular Motility Disorders / Q000175:diagnosis / Q000209:etiology*; D009801:Oculomotor Muscles / Q000294:innervation*; D009802:Oculomotor Nerve / Q000002:abnormalities*; D046608:Synkinesis / Q000175:diagnosis / Q000209:etiology*