A Case of Progressive Stroke on Posterior Circulation with Transient Bilateral Oculomotor Palsy
Author
Source
Case Reports in Neurological Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-03-26
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Infarction located in the midbrain and pons presents various ophthalmic symptoms, because of the damage of the nuclei that control the movement of internal and external ocular and palpebral muscles.
We experienced a case which presented with rare ocular symptoms and course.
A 61-year-old man presented with left hemiparesis and dysarthria, bilateral ptosis, and bilateral impaired eyeball movement: right eyeball movement was totally impaired and left could only perform slight adduction.
MRI showed fresh stroke in the right thalamus, cerebral crus, and posterior lobe and cuneate lesion on bilateral paramedian portion of the midbrain.
MRA showed occlusion in the P1 area of the posterior cerebral artery (PCA).
Transesophageal echocardiography (TEE) showed findings of a patent foramen ovale (PFO).
These findings suggested cardioembolic stroke as a cause of PCA occlusion and we prescribed rivaroxaban.
The patient’s eyeball and eyelid movement, only on the left side, was improved imperfectly 2 weeks later.
We thought that neurological findings and course of this case may have arisen from dysfunction of the oculomotor nucleus and oculomotor fascicles, and MLF results from the presence of the lesion in paramedian midbrain and pons.
American Psychological Association (APA)
Takahashi, Chiaki. 2018. A Case of Progressive Stroke on Posterior Circulation with Transient Bilateral Oculomotor Palsy. Case Reports in Neurological Medicine،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1145318
Modern Language Association (MLA)
Takahashi, Chiaki. A Case of Progressive Stroke on Posterior Circulation with Transient Bilateral Oculomotor Palsy. Case Reports in Neurological Medicine No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1145318
American Medical Association (AMA)
Takahashi, Chiaki. A Case of Progressive Stroke on Posterior Circulation with Transient Bilateral Oculomotor Palsy. Case Reports in Neurological Medicine. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1145318
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145318