Ocular tilt reaction, internuclear ophthalmoplegia, and torsional nystagmus following mitral commissurotomy

Ocular tilt reaction, a type of skew deviation, and unilateral internuclear ophthalmoplegia with torsional nystagmus resulting from an ischemic event may result from unilateral disruption of otolithic pathways in the medial longitudinal fasciculus. A subset of skew deviations is known to simulate su...

Full description

Saved in:
Bibliographic Details
Published inJournal of AAPOS Vol. 16; no. 5; pp. 484 - 486
Main Authors Pandey, P.K., MD, Singh, Anupam, MS, Kumar, Barun, MD, Sood, Shagun, MBBS, Kumar, Sanjeev, MBBS, Kumari, Ekta, MBBS, Chandel, Meenakshi, MBBS
Format Journal Article
LanguageEnglish
Published United States Mosby, Inc 01.10.2012
Subjects
Balloon Valvuloplasty
Brain Ischemia - complications
Diagnosis, Differential
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Mitral Valve - surgery
Nystagmus, Pathologic - etiology
Ocular Motility Disorders - etiology
Ophthalmology
Postoperative Complications - etiology
Torsion Abnormality - etiology
Online AccessGet full text

Cover

More Information
Summary:Ocular tilt reaction, a type of skew deviation, and unilateral internuclear ophthalmoplegia with torsional nystagmus resulting from an ischemic event may result from unilateral disruption of otolithic pathways in the medial longitudinal fasciculus. A subset of skew deviations is known to simulate superior oblique palsy; however, none have been reported with a coexisting internuclear ophthalmoplegia. The present report documents the rare occurrence of an ocular tilt reaction simulating a left superior oblique palsy from involvement of left medial longitudinal fasciculus at the level of interstitial nucleus of Cajal.
Bibliography:ObjectType-Case Study-3
SourceType-Scholarly Journals-1
content type line 23
ObjectType-Review-1
ObjectType-Feature-5
ObjectType-Report-2
ObjectType-Article-4
ISSN:1091-8531
1528-3933
DOI:10.1016/j.jaapos.2012.06.004