title: Vertical Head Thrusting in Acquired Supranuclear Vertical Ophthalmoplegia.
abstract: Patients with congenital ocular motor apraxia (OMA) typically show head thrusts while attempting to shift gaze. In congenital OMA, this compensatory head motion mostly occurs in the horizontal plane. Two patients with acquired palsy of voluntary vertical gaze and continuous upward gaze deviation, one from aortic surgery and the other from multiple infarctions involving the mesodiencephalic junction, showed intermittent downward head thrusting to redirect the eyes straight ahead or downward. The head thrusting behavior improved markedly after surgical correction of the upward gaze deviation in one patient. Vertical head thrusting may be a characteristic sign of acquired vertical gaze palsy when combined with vertical gaze deviation.
authors.affiliation: Departments of Ophthalmology (Y-HL, WL) and Neurology (S-HJ), Chungnam National University College of Medicine, Daejeon, Korea Research Administration Team, Seoul National University Bundang Hospital (H-JK), Seongnam, Korea Departments of Ophthalmology (J-MH) and Neurology (J-SK), Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
authors.forename: Yeon-Hee
authors.initials: YH
authors.lastname: Lee
authors.forename: Seong-Hae
authors.initials: SH
authors.lastname: Jeong
authors.forename: Hyo-Jung
authors.initials: HJ
authors.lastname: Kim
authors.forename: Jeong-Min
authors.initials: JM
authors.lastname: Hwang
authors.forename: Woohyuk
authors.initials: W
authors.lastname: Lee
authors.forename: Ji-Soo
authors.initials: JS
authors.lastname: Kim
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005133:Eye Movements / Q000502:physiology*; D019416:Head Movements / Q000502:physiology*; D006801:Humans; D002534:Hypoxia, Brain / Q000150:complications* / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D013494:Supranuclear Palsy, Progressive / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology*