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Original Article

Horizontal gaze palsy as presenting symptom of brainstem encephalitis

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Pages 211-213 | Published online: 08 Jul 2009
 

Abstract

A 48-year-old female presented with bilateral paralysis of supranuclear hori zontal conjugated gaze and impairment of various pontine, cerebellar and cervical spinal cord functions.

The clinical signs and laboratory work-up indicated myeloencephalitis, probably of viral etiology. Paralysis of supranuclear horizontal conjugated gaze was produced experimentally by damaging the paramedial pontine reticularformation(PPRF). In the human, this a bnor-mality is extremely rare and, to the best of our knowledge, has not been reported previously in reversible encephalitis.

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