One-and-a-half syndrome, type II: A case with rostral brain stem infarction

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dc.contributor.authorCelebisoy, N
dc.contributor.authorAkyurekli, O
dc.date.accessioned2019-10-27T11:54:50Z
dc.date.available2019-10-27T11:54:50Z
dc.date.issued1996
dc.departmentEge Üniversitesien_US
dc.description.abstractThis article is about a patient who suddenly developed a right hemiparesis and stupor. Her neuro-ophthalmological examination revealed a left-sided ptosis and a combined vertical gaze palsy in addition to right esotropia, right conjugate gaze palsy, and abduction paralysis of the left eye on attempted gaze to the left with adduction nystagmus of the right eye. The horizontal eye movement disorder was similar to that in one-and-a-half syndrome, except for an abduction paralysis and an adduction nystagmus. MRI showed a rostral brain stem infarction on the left side. Left-sided ptosis and adduction paralysis were attributed to a left oculomotor fascicular involvement in the presence of a right hemiparesis. Right-sided esotropia and abduction paresis were consistent with a 'pseudo-abducens palsy', which has been reported in thalamo-mesencephalic lesions. Combined vertical gaze palsy is a classical finding of rostral brain stem infarction. Left-sided abduction paralysis with adduction nystagmus on the right side on attempted gaze to the left is thought to be due to involvement of the para-MLF on the left side and is called internuclear ophthalmoplegia of abduction (INO-abd). To our knowledge, this type of horizontal eye movement disorder has never been reported before with rostral brain stem infarction.en_US
dc.identifier.endpage377en_US
dc.identifier.issn0165-8107
dc.identifier.issn0165-8107en_US
dc.identifier.issue6en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage373en_US
dc.identifier.urihttps://hdl.handle.net/11454/35071
dc.identifier.volume16en_US
dc.identifier.wosWOS:A1996WF94700008en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherAeolus Pressen_US
dc.relation.ispartofNeuro-Ophthalmologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectone-and-a-half syndromeen_US
dc.subjectpseudo-abducens palsyen_US
dc.subjectinternuclear ophthalmoplegia of abductionen_US
dc.subjectrostral brain stem infarctionen_US
dc.titleOne-and-a-half syndrome, type II: A case with rostral brain stem infarctionen_US
dc.typeArticleen_US

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