A small dorsal pontine infarction presenting with total gaze palsy including vertical saccades and pursuit.
A small localized infarction in the dorsal pontine area can cause various eye-movement disturbances, such as abducens palsy, horizontal conjugate gaze palsy, internuclear ophthalmoplegia, and one-and-a-half syndrome. However, complete loss of vertical saccades and pursuit with horizontal gaze palsy has not been reported previously in a patient with a small pontine lesion. We report a 67-year-old man with a small dorsal caudal pontine infarct who exhibited total horizontal gaze palsy as well as loss of vertical saccades and pursuit.
Lee
Eugene
E
Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Korea.
Kim
Ji Soo
JS
Kim
Jong Sung
JS
Song
Ha Seob
HS
Kim
Seung Min
SM
Kwon
Sun Uk
SU