Cerebellar Ischemia Manifesting As Vertical Diplopia: A Case Study on Skew Deviation

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Diplopia due to skew deviation following neurotologic procedures.

OBJECTIVE To describe and characterize diplopia resulting from skew deviation after cerebellopontine angle (CPA) surgery and labyrinthectomy. PATIENTS AND INTERVENTIONS Retrospective case series of 4 patients who developed vertical diplopia from skew deviation after resection of tumors in the CPA or labyrinthectomy MAIN OUTCOME MEASURE Complete neuro-opthalmologic examination including opti...

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Vertical gaze palsy with skew deviation.

With the advancement of neuroradiology, clinical localization followed by radiology, had made neurology more interesting. Vertical gage palsy as presentation cerebrovascular disease is not so common. Vertical gaze palsy usually localizes the lesion to dorsal mid brain. A 56 years male patient presented with sudden onset vertigo, diplopia, transient loss of consciousness and sways toward right s...

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Alternating skew deviation due to hemorrhage in the cerebellar vermis.

A 76-year-old Japanese woman with essential hypertension and diabetes mellitus abruptly presented with nausea, dizziness, an occipital headache, truncal ataxia, gaze-evoked nystagmus and alternating skew deviation (ASD) with abducting eye hypertropia. Cranial computed tomography demonstrated hemorrhage in the cerebellar vermis and its vicinity. These symptoms gradually resolved within three wee...

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Cerebellar skew deviation and the torsional vestibuloocular reflex.

BACKGROUND Skew deviation is typically caused by brainstem damage, and has not been identified with focal cerebellar lesions. This vertical strabismus has been attributed to asymmetric disruption of vestibuloocular reflex (VOR) projections from otolithic receptors of the utricle to ocular motoneurons, but asymmetry of the utriculo-ocular counter-roll reflex has not been detected. METHODS Lesi...

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ژورنال

عنوان ژورنال: Military Medicine

سال: 2015

ISSN: 0026-4075,1930-613X

DOI: 10.7205/milmed-d-14-00292