Exodeviated Ophthalmoplegia in a Patient with Progressive Supranuclear Palsy.
10.3346/jkms.2009.24.5.982
- Author:
Chansok KIM
1
;
Ho Won LEE
;
Mee Young PARK
Author Information
1. Department of Neurology, Han Family Hospital, Daegu, Korea.
- Publication Type:Case Report
- Keywords:
Supranuclear Palsy, Progressive;
Ophthalmoplegia
- MeSH:
Aged;
Exotropia/diagnosis;
Eye Movements;
Humans;
Magnetic Resonance Imaging;
Male;
Ophthalmoplegia/*diagnosis;
Supranuclear Palsy, Progressive/*diagnosis;
Time Factors;
Vision, Binocular
- From:Journal of Korean Medical Science
2009;24(5):982-984
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a patient with progressive supranuclear palsy (PSP) with his serial photographs before the onset of ocular symptoms and after the onset with two year intervals. These photographs show his progressive eyeball deviations toward complete exotropia. There were no effective voluntary eyeball movements, Bell's phenomenon, doll's eye movements, and vestibulo-ocular reflexes. These signs indicate the involvement of the oculomotor nuclear complex by the disease. We suggest that PSP may cause not only 'supranuclear' but also 'nuclear' complete ophthalmoplegia with exodeviation of the eyes.
