Parinaud's syndrome secondary to thromboembolism from myocardial infarction associated with myelofibrosis

Rosa, Paulo Roberto A.; Mendonça, Karla B.; Maduro, Luiz M.F.; Lemos, Armando Jorge Monnerat de; Barros, Monica Cordeiro de; Couto, Gustavo; Santos, Paulo César; Deslandes, Alexandre de Oliveira; Cruz, A

doi:10.1590/s0004-282x2009000100026

Cited by 1 publication

(2 citation statements)

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“…He described supranuclear palsies as a deficiency in the vertical ocular movements arising from the dorsal midbrain. Clinically, these supranuclear palsies can be identified by paresis of vertical eye movements under voluntary control but with a preserved vertical vestibulo-ocular reflex, that points to preservation of the nuclei and efferent motor fibers of IIIrd and IVth cranial nerves [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

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Parinaud’s syndrome due to an unilateral vascular ischemic lesion

Serino

Martins

Paris³

et al. 2015

Int Ophthalmol

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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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Section: Introductionmentioning

confidence: 99%

“…Common etiologies are hydrocephalus and pineal gland tumors for the former and infection, demyelinating, and vascular lesions for the latter [9,11,13]. Vascular causes are rare and usually produce other signs associated with oculomotor defects [9,14].…”

Section: Introductionmentioning

confidence: 99%