Document Detail

Complete bilateral ophthalmoplegia resistant to caloric stimulation in bilateral paramedian midbrain-thalamic infarction.
MedLine Citation:
PMID:  19952900     Owner:  NLM     Status:  MEDLINE    
A 79-year-old woman who developed bilateral paramedian midbrain-thalamic infarction manifested complete bilateral ophthalmoplegia resistant to caloric stimulation, indicating impairment of the vestibulo-ocular reflex (VOR). Previous reports have mentioned this phenomenon but have not explicitly reported the results of caloric testing. Why a lesion apparently confined to the upper brainstem should produce impairment of the horizontal VOR remains unexplained.
Miguel Angel Tola-Arribas; Alejandro Vara-Castrodeza; Juan Ernesto Alonso-Santor
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society     Volume:  29     ISSN:  1536-5166     ISO Abbreviation:  J Neuroophthalmol     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-02     Completed Date:  2010-02-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9431308     Medline TA:  J Neuroophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  284-5     Citation Subset:  IM    
Department of Neurology, Hospital Universitario R??o Hortega, Valladolid, Spain.
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MeSH Terms
Caloric Tests
Fatal Outcome
Infarction, Posterior Cerebral Artery / complications*,  pathology,  radiography
Magnetic Resonance Imaging
Mesencephalon / pathology*,  radiography
Ophthalmoplegia / complications*,  pathology,  radiography
Thalamus / pathology*,  radiography

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