title: Vertical gaze palsy with skew deviation.
abstract: With the advancement of neuroradiology, clinical localization followed by radiology, had made neurology more interesting. Vertical gage palsy as presentation cerebrovascular disease is not so common. Vertical gaze palsy usually localizes the lesion to dorsal mid brain. A 56 years male patient presented with sudden onset vertigo, diplopia, transient loss of consciousness and sways toward right side while walking. Clinical examination showed vertical gaze palsy with skew deviation along with swaying towards rt. during walk. MRI brain showed - infarct involving dorsal midbrain at superior colliculus level and medial thalamus.
authors.affiliation: Department of Neurology, College of Medical sciences, Bharatpur, Chitwan, Nepal.
authors.forename: B R
authors.initials: BR
authors.lastname: Pokharel
authors.affiliation: Department of Neurology, College of Medical sciences, Bharatpur, Chitwan, Nepal.
authors.forename: L J
authors.initials: LJ
authors.lastname: Thapa
authors.affiliation: Department of Neurology, College of Medical sciences, Bharatpur, Chitwan, Nepal.
authors.forename: R
authors.initials: R
authors.lastname: Paudel
authors.affiliation: Department of Neurology, College of Medical sciences, Bharatpur, Chitwan, Nepal.
authors.forename: P V S
authors.initials: PV
authors.lastname: Rana
mesh_terms: D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D015835:Ocular Motility Disorders / Q000175:diagnosis* / Q000503:physiopathology*