title: Brainstem infarction with wall-eyed bilateral internuclear ophthalmoplegia syndrome and vertical one-and-a-half syndrome.
abstract: We describe a rare case in which both wall-eyed bilateral internuclear ophthalmoplegia syndrome and vertical one-and-a-half syndrome were observed in a 68-year-old man with acute ischemic stroke. Concurrent horizontal and vertical gaze palsies are rare because the corresponding gaze centers are anatomically separated. The complicated gaze palsies observed in this patient might have resulted from long, vertical lesions affecting oculomotor pathways for both sides of the brain stem.
authors.affiliation: Department of Neurology, Kitamurayama Public Hospital, Japan. Electronic address: s7066@nms.ac.jp.
authors.forename: Nobuhito
authors.initials: N
authors.lastname: Nakajima
authors.affiliation: Department of Neurology, Nippon Medical School, Japan.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Ueda
authors.affiliation: Department of Neurology, Nippon Medical School, Japan.
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Katayama
mesh_terms: D000368:Aged; D002545:Brain Ischemia / Q000150:complications; D020526:Brain Stem Infarctions / Q000150:complications*; D005099:Exotropia / Q000209:etiology; D006801:Humans; D008297:Male; D015835:Ocular Motility Disorders / Q000209:etiology*; D009886:Ophthalmoplegia / Q000209:etiology; D020521:Stroke / Q000150:complications
keywords: Wall-eyed bilateral internuclear ophthalmoplegia syndrome; cardiogenic embolism; ischemic stroke; vertical one-and-a-half syndrome