Document Detail

Bilateral ophthalmoplegia: an unusual sign of the top of the basilar artery syndrome.
MedLine Citation:
PMID:  8915763     Owner:  NLM     Status:  MEDLINE    
Bilateral ophthalmoplegia may be an unusual sign of vertebrobasilar ischemia. We report the cases of two patients (75 and 73 years old), who suddenly developed drowsiness, bilateral ophthalmoplegia with bilateral ptosis and mild right hemiparesis. In both patients, MRI revealed bilateral thalamic and midbrain infarcts, ECG showed the presence of atrial fibrillation and Doppler study of the extracranial and intracranial vertebral arteries found no significant alterations. Ischemia involving the midbrain and thalamic paramedian regions may cause bilateral ophthalmoplegia and consciousness disturbances. In these two cases, the most plausible etiologic mechanism was cardiac embolism, and the prognosis for bilateral ocular palsy was poor.
C Finocchi; M Del Sette; R Croce; L Giberti; C Serrati; C Gandolfo
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Italian journal of neurological sciences     Volume:  17     ISSN:  0392-0461     ISO Abbreviation:  Ital J Neurol Sci     Publication Date:  1996 Aug 
Date Detail:
Created Date:  1997-03-04     Completed Date:  1997-03-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8006502     Medline TA:  Ital J Neurol Sci     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  301-4     Citation Subset:  IM    
Dipartimento di Scienze Neurologiche e di Neuroriabilitazione, CNR, Università di Genova, Italy.
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MeSH Terms
Cerebral Infarction / etiology,  pathology
Cerebrovascular Circulation / physiology
Magnetic Resonance Imaging
Mesencephalon / pathology
Ophthalmoplegia / etiology*,  pathology
Thalamus / pathology
Vertebrobasilar Insufficiency / complications*,  diagnosis,  pathology

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