Paroxysmal skew deviation in association with a brain stem glioma

Allerand, C. Dominique

doi:10.1212/wnl.12.8.520

Neurology

1962

DOI: 10.1212/wnl.12.8.520

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Paroxysmal skew deviation in association with a brain stem glioma

C. Dominique Allerand¹

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1963

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Cited by 12 publications

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“…The infiltrative tumor may have served initially as an irritative focus in the vestibulo-ocular pathways producing paroxysms of skew deviation that became permanent as the dis¬ ease progressed. 152 Bizarre ocular fluttering characterized by rapid and irregular conjugate ocular move¬ ments of displacement and/or rotation was associated with widespread irregular myo-clonic skeletal muscle jerking in six infants.…”

mentioning

confidence: 96%

Neuro-Ophthalmology

HOYT¹

1963

Archives of Ophthalmology

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mentioning

confidence: 96%

Neuro-Ophthalmology

HOYT¹

1963

Archives of Ophthalmology

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Transient Recurring Paralysis of Ocular Abduction

Allen¹

1967

Arch Neurol

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Ocular Skew Deviation

Keane¹

1975

Arch Neurol

148

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In 100 patients with ocular skew deviation, the lesion was usually on the side of the lower eye, particularly when patients with internuclear ophthalmoplegia were excluded, but exceptions were sufficiently frequent to diminish the clinical lateralizing value of skew. Pontine damage was most commonly encountered, but midbrain-pretectal and medullary lesions were frequent. The onset of skew frequently coincided with acute brain stem damage, and while a wide variety of diseases produced skew deviation, stem strokes were present in more than two thirds of the patients. The hypothesis that skew results from damage to tonic otolith-ocular pathways is generally compatible with both the known anatomy of otolith pathways and the clinical presentation of skew. Otolith function testing in patients with skew, further anatomical definition of otolith-ocular pathways, and clinicopathological study of discrete lesions associated with skew should help resolve the causative role of the otolith organs in skew deviation.

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Paroxysmal skew deviation in association with a brain stem glioma

Cited by 12 publications

References 0 publications

Neuro-Ophthalmology

Neuro-Ophthalmology

Transient Recurring Paralysis of Ocular Abduction

Ocular Skew Deviation

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