title: Transient Horizontal Gaze Palsy in a One-Month-Old Boy after a Fall.
abstract: A 1-month-old boy was evaluated after a fall from a height of 3 feet and found to have right parietal skull fracture as well as right and left frontal traumatic hemorrhage. Ten days after the injury, he represented with a persistent left gaze preference. Further workup including MRI and EEG determined that this finding was most likely due to a small, focal, left-frontal eye field lesion. We review the horizontal gaze pathway and demonstrate that this is present at this very young age, and that a very focal and relatively minor injury can cause gaze disturbance.
authors.affiliation: Department of Neurosurgery, Massachusetts General Hospital, Boston, Mass., USA.
authors.forename: Sarah K
authors.initials: SK
authors.lastname: Bourne
authors.forename: Ann-Christine
authors.initials: AC
authors.lastname: Duhaime
mesh_terms: D000058:Accidental Falls; D001930:Brain Injuries / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D008297:Male; D015835:Ocular Motility Disorders / Q000209:etiology*; D010294:Parietal Bone / Q000293:injuries; D012887:Skull Fractures / Q000150:complications*; D013345:Subarachnoid Hemorrhage / Q000150:complications / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed