Slowly alternating skew deviation: Description of a pretectal syndrome in three patients

Autor: Richard G. Berry, James J. Corbett, Myles M. Behrens, W. Thomas Shults, Norman J. Schatz
Rok vydání: 1981
Předmět:
Zdroj: Annals of Neurology. 10:540-546
ISSN: 1531-8249
0364-5134
DOI: 10.1002/ana.410100608
Popis: Three patients who had slowly alternating skew deviation are described; each had elements of the Sylvian aqueduct syndrome. This combination of signs supports a pretectal location for lesions associated with alternating skew movements. Postmortem examination of a patient who died of chronic herpes simplex encephalitis showed extensive demyelination and periaqueductal spongiform degeneration; there was preservation of the oculomotor and trochlear nuclei, the medial longitudinal fasciculus, vestibular nuclei, and the interstitial nucleus of Cajal bilaterally. The slowly alternating dysconjugate vertical movements bear a resemblance to both see-saw nystagmus and the ocular tilt response.
Databáze: OpenAIRE