Sustained downgaze as the only remained sign after regaining consciousness in hepatic encephalopathy
- Author:
Dong-Gyu Park
;
Ji Soo Kimb
;
Sun-Uk Lee
;
Tae-Sung Lim
;
So Young Moon
- Publication Type:Journal Article
- From:Neurology Asia
2014;19(1):105-106
- CountryMalaysia
- Language:English
-
Abstract:
Sustained downgaze mostly occurs in association with lesions affecting the dorsal midbrain. We report
sustained downgaze in a patient with hepatic encephalopathy. The sustained downgaze existed for
seven more days after she regained her consciousness. The persistent downgaze even after regaining
full consciousness indicates localized pretectal dysfunction rather than diffuse encephalopathy as the
mechanism of sustained downgaze in our patient. The ocular motor dysfunction in hepatic encephalopathy
may be due to localized dysfunction of the brainstem
- Full text:P020150624473056339113.pdf
