Journal
CEREBROVASCULAR DISEASES
Volume 10, Issue 4, Pages 327-329Publisher
KARGER
DOI: 10.1159/000016078
Keywords
pontine hemorrhage; eye movements
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A 61-year-old man presented with coma and left hemiparesis, He was found to have tonic downward and inward deviation of the right eye, and a right lateral gaze palsy, He also had occasional downward bobbing movements of the right eye, and a partial bilateral upgaze paresis, CT showed a right pontine tegmental hemorrhage extending to the ipsilateral midbrain, Tonic ocular downward a nd inward deviation associated with pontine tegmental hemorrhage may be due to irritation of mesencephalic downgaze and convergence centers by rostral extension of the hematoma. Although 'eyes seeming to peer at the tip of the nose' is characteristic of thalamic hemorrhage, it may also be seen secondary to pontine tegmental hemorrhage, Copyright (C) 2000 S. Karger AG, Basel.
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