Ocular Lateral Deviation as a Vestibular Clinical Sign of Medial Posterior Inferior Cerebellar Artery Strokes: A Case Report.
Medial posterior inferior cerebellar artery
Nystagmus
Ocular lateral deviation
Stroke
Vestibular
Journal
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
ISSN: 1532-8511
Titre abrégé: J Stroke Cerebrovasc Dis
Pays: United States
ID NLM: 9111633
Informations de publication
Date de publication:
Aug 2022
Aug 2022
Historique:
received:
22
04
2022
revised:
16
06
2022
accepted:
23
06
2022
pubmed:
6
7
2022
medline:
27
7
2022
entrez:
5
7
2022
Statut:
ppublish
Résumé
We report a case of posterior circulation stroke that presented with a unique ocular vestibular sign called Ocular Lateral Deviation (OLD). OLD is eye deviation to one side that is made more prominent by brief eye closure. OLD has been reported to occur ipsilesional in a third of medullary strokes, and occasionally in other posterior fossa strokes. Here we report a case of acute stroke that presented with contralesional eye deviation consistent with OLD due to inferior vermis stroke. To our knowledge, this presentation has not been reported before. Clinicians should be aware of potential ocular manifestations of posterior circulation strokes, as these syndromes may not generate significant NIHSS scores and may be missed.
Identifiants
pubmed: 35780716
pii: S1052-3057(22)00312-3
doi: 10.1016/j.jstrokecerebrovasdis.2022.106618
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
106618Informations de copyright
Copyright © 2022 Elsevier Inc. All rights reserved.