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Parinaud's syndrome due to an unilateral vascular ischemic lesion.

Authors
Type
Published Article
Journal
International Ophthalmology
1573-2630
Publisher
Springer-Verlag
Publication Date
Volume
35
Issue
2
Pages
275–279
Identifiers
DOI: 10.1007/s10792-015-0045-y
PMID: 25649259
Source
Medline

Abstract

A 59-year-old man who complained of binocular vertical diplopia after an exploratory laparotomy, complicated by cardiorespiratory arrest during anesthetic induction, was found to have Collier's sign, anisocoria, complete paralysis of upward vertical gaze associated with convergence-retraction nystagmus on attempted upgaze and skew deviation with hypertropia in the left eye without ptosis, and an absent Bielschowsky sign. Magnetic resonance imaging of the brain showed a small lesion in the left paramedian midbrain compatible with microvascular ischemic sequelae. This patient was diagnosed with Parinaud's syndrome (dorsal midbrain syndrome) associated with a vertical strabismus from an unilateral vascular ischemic paramedian midbrain lesion.

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