Complete Horizontal Gaze Paresis Due to Medial Pontine Haemorrhage. (2nd January 2023)

• Record Type: Journal Article
• Authors: Sim, Joan Pei Yun; Sim, Jackie Jia Lin; Saleem, Sameer; Cordato, Dennis
• Is Part Of: Neuro-ophthalmology. Volume 47:Number 1(2023)
• Page Start: 7
• Page End: 10
• Publication Date: 2023-01-02
• Subjects: Horizontal gaze palsy -- paramedian pontine reticular formation -- medial longitudinal fasciculus -- pontine; Neuroophthalmology -- Periodicals; 617.7
• DOI: 10.1080/01658107.2022.2065314
• Languages: English
• ISSNs: 0165-8107

Abstract

ABSTRACT: We report a case of bilateral horizontal conjugate gaze palsy due to a dorsal median pontine haemorrhage. The development of horizontal gaze palsy has been attributed to lesions in the pontine tegmentum, and in this case, has occurred in conjunction with other features as part of Foville's syndrome. Complete horizontal gaze palsy is a rare clinical manifestation as bilateral involvement is unusual. Our case provides further insight into the intricacies of the brainstem neuroanatomy through a description of the involved neural pathways and nuclei accounting for complex neurological manifestations in one patient.