title: Neurocysticercosis presenting as a vertical one-and-a-half syndrome with associated contralesional horizontal gaze paresis.
abstract: We describe a patient presenting with vertical one-and-a-half syndrome and concomitant contralesional horizontal gaze paresis as the result of a solitary neurocysticercosis (NCC) lesion in the right midbrain extending into the thalamomesencephalic junction. The patient received an albendazole-dexamethasone course which resulted in resolution of his symptoms. The neuro-ophthalmological complications of NCC are reviewed and the clinical topography of the neuro-ophthalmological findings of this unusual observation are discussed.
authors.affiliation: Department of Neurology (Medicine), Hamad Medical Corporation, P.O. Box 3050, Doha, Qatar.
authors.forename: Boulenouar
authors.initials: B
authors.lastname: Mesraoua
authors.forename: Dirk
authors.initials: D
authors.lastname: Deleu
authors.forename: Atlantic
authors.initials: A
authors.lastname: D'souza
authors.forename: Yahia Zakaria Bashier
authors.initials: YZ
authors.lastname: Imam
authors.forename: Gayane
authors.initials: G
authors.lastname: Melikyan
mesh_terms: D020434:Abducens Nerve Diseases / Q000175:diagnosis; D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D000871:Anthelmintics / Q000627:therapeutic use; D001763:Blepharoptosis / Q000209:etiology; D003907:Dexamethasone / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004172:Diplopia / Q000188:drug therapy / Q000209:etiology*; D004359:Drug Therapy, Combination; D006261:Headache / Q000209:etiology; D006801:Humans; D008297:Male; D008636:Mesencephalon / Q000469:parasitology / Q000503:physiopathology; D020019:Neurocysticercosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology; D009759:Nystagmus, Pathologic / Q000188:drug therapy / Q000209:etiology*; D015835:Ocular Motility Disorders / Q000188:drug therapy / Q000209:etiology*; D015840:Oculomotor Nerve Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000469:parasitology; D012021:Reflex, Abnormal; D013788:Thalamus / Q000469:parasitology / Q000503:physiopathology
chemical_list: D000871:Anthelmintics; D003907:Dexamethasone; D015766:Albendazole