Seesaw nystagmus with internuclear ophthalmoplegia from bilateral dorsomedial pons and left thalamus infarction: a case report
Abstract Background We describe for the first time the clinical features and mechanisms of a bilateral dorsomedial pons and left thalamus infarction with seesaw nystagmus and internuclear ophthalmoplegia. Case presentation A 62-year-old Chinese man was hospitalized for sudden-onset dizziness, diplop...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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BMC
2019-11-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-019-2269-3 |
| _version_ | 1818587820664553472 |
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| author | Qian Zhang Jian Li |
| author_facet | Qian Zhang Jian Li |
| author_sort | Qian Zhang |
| collection | DOAJ |
| description | Abstract Background We describe for the first time the clinical features and mechanisms of a bilateral dorsomedial pons and left thalamus infarction with seesaw nystagmus and internuclear ophthalmoplegia. Case presentation A 62-year-old Chinese man was hospitalized for sudden-onset dizziness, diplopia, and gait disturbance. A neurological examination revealed seesaw nystagmus and internuclear ophthalmoplegia. Magnetic resonance imaging disclosed an acute infarction confined to the bilateral dorsomedial pons and left thalamus. Subsequently, 2 weeks of antithrombotic therapy led to an improvement in his symptoms. Conclusions This case illustrates that the acute onset of seesaw nystagmus and internuclear ophthalmoplegia accompanied by risk factors for cerebrovascular diseases are highly suggestive of brainstem infarction. |
| first_indexed | 2024-12-16T09:14:56Z |
| format | Article |
| id | doaj.art-ceb9c3b1f4bd4a5c9e79c8233892ccad |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-16T09:14:56Z |
| publishDate | 2019-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-ceb9c3b1f4bd4a5c9e79c8233892ccad2022-12-21T22:36:55ZengBMCJournal of Medical Case Reports1752-19472019-11-011311410.1186/s13256-019-2269-3Seesaw nystagmus with internuclear ophthalmoplegia from bilateral dorsomedial pons and left thalamus infarction: a case reportQian Zhang0Jian Li1Department of Neurology, the First Affiliated Hospital of Jinzhou Medical UniversityDepartment of Neurology, the First Affiliated Hospital of Jinzhou Medical UniversityAbstract Background We describe for the first time the clinical features and mechanisms of a bilateral dorsomedial pons and left thalamus infarction with seesaw nystagmus and internuclear ophthalmoplegia. Case presentation A 62-year-old Chinese man was hospitalized for sudden-onset dizziness, diplopia, and gait disturbance. A neurological examination revealed seesaw nystagmus and internuclear ophthalmoplegia. Magnetic resonance imaging disclosed an acute infarction confined to the bilateral dorsomedial pons and left thalamus. Subsequently, 2 weeks of antithrombotic therapy led to an improvement in his symptoms. Conclusions This case illustrates that the acute onset of seesaw nystagmus and internuclear ophthalmoplegia accompanied by risk factors for cerebrovascular diseases are highly suggestive of brainstem infarction.https://doi.org/10.1186/s13256-019-2269-3Seesaw nystagmusInternuclear ophthalmoplegiaInterstitial nucleus of CajalBilateral dorsomedial pons infarction |
| spellingShingle | Qian Zhang Jian Li Seesaw nystagmus with internuclear ophthalmoplegia from bilateral dorsomedial pons and left thalamus infarction: a case report Journal of Medical Case Reports Seesaw nystagmus Internuclear ophthalmoplegia Interstitial nucleus of Cajal Bilateral dorsomedial pons infarction |
| title | Seesaw nystagmus with internuclear ophthalmoplegia from bilateral dorsomedial pons and left thalamus infarction: a case report |
| title_full | Seesaw nystagmus with internuclear ophthalmoplegia from bilateral dorsomedial pons and left thalamus infarction: a case report |
| title_fullStr | Seesaw nystagmus with internuclear ophthalmoplegia from bilateral dorsomedial pons and left thalamus infarction: a case report |
| title_full_unstemmed | Seesaw nystagmus with internuclear ophthalmoplegia from bilateral dorsomedial pons and left thalamus infarction: a case report |
| title_short | Seesaw nystagmus with internuclear ophthalmoplegia from bilateral dorsomedial pons and left thalamus infarction: a case report |
| title_sort | seesaw nystagmus with internuclear ophthalmoplegia from bilateral dorsomedial pons and left thalamus infarction a case report |
| topic | Seesaw nystagmus Internuclear ophthalmoplegia Interstitial nucleus of Cajal Bilateral dorsomedial pons infarction |
| url | https://doi.org/10.1186/s13256-019-2269-3 |
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