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Correlation of clinical and neuroradiological findings in down-gaze palsy

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Abstract 

Background: Isolated down-gaze palsy is the least common pathology of vertical gaze. Patients with low-gaze palsy may consult an ophthalmologist with difficulty in reading and this may be the only ocular finding of a central nervous system lesion. Methods: A 43-year-old man with isolated down-gaze palsy was examined. The medical history of the patient revealed that he had had myocardial infarction. Result: Magnetic resonance imaging disclosed an ischemic area at the right thalamus. Conclusion: Down-gaze palsy may be an important sign for the diagnosis of thalamic infarctions due to embolic syndrome.

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Authors and Affiliations

  1. Ankara Numune Hospital, Eye Clinic 1, Ankara, Turkey, , , , , , TR

    Feyza Önder, İzzet Can, Cemile Banu Coşar, Tülay Kansu & Gülcan Kural

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  1. Feyza Önder
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  2. İzzet Can
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  3. Cemile Banu Coşar
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  4. Tülay Kansu
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  5. Gülcan Kural
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Received: 1 March 1999 Revised: 15 September 1999 Accepted: 15 September 1999

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Önder, F., Can, İ., Coşar, C. et al. Correlation of clinical and neuroradiological findings in down-gaze palsy. Graefe's Arch Clin Exp Ophthalmol 238, 369–371 (2000). https://doi.org/10.1007/s004170050367

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  • DOI: https://doi.org/10.1007/s004170050367

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