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양측 외사시핵간안근마비에서 보인 상향안진Upbeat Nystagmus in Association with Wall-Eyed Bilateral Internuclear Ophthalmoplegia

Other Titles
Upbeat Nystagmus in Association with Wall-Eyed Bilateral Internuclear Ophthalmoplegia
Authors
박덕수양광익강여정이태경
Issue Date
2014
Publisher
대한평형의학회
Keywords
Ophthalmoplegia; Nystagmus; Cerebral infarction
Citation
Research in Vestibular Science, v.13, no.1, pp.24 - 27
Journal Title
Research in Vestibular Science
Volume
13
Number
1
Start Page
24
End Page
27
URI
https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/12949
ISSN
2092-8882
Abstract
A 54-year-old man presented with primary position upbeat nystagmus andwall-eyed bilateral internuclear ophthalmoplegia. He also showed bilateral limbataxia and impaired horizontal gaze. Upbeat nystagmus obeyed Alexander’s lawand attenuated by visual fixation and disappeared by convergence. Brain magneticresonance imaging showed acute infarction in the bilateral paramedian midbraininvolving the crossing of brachium conjunctivum. Multiple mechanisms includingthe interruption of central vestibulo-ocular projections from anterior canal maybe postulated in upbeat nystagmus of this patient.
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