Why Can't This Patient Look Up? Bilateral Vertical Gaze Palsy

Krishna Surapaneni; Lisa Ferguson; Eric L. Altschuler

doi:10.1016/j.pmrj.2015.04.011

Why Can't This Patient Look Up? Bilateral Vertical Gaze Palsy

Krishna Surapaneni, Lisa Ferguson, Eric L. Altschuler

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4 Scopus citations

Abstract

We report a case of a patient with profound bilateral vertical gaze palsy resulting from a unilateral thalamic lesion-one of only a handful of such cases ever reported. The patient had significant symptomatic vertical diplopia that was disabling functionally and vocationally. We discuss pathways whereby a unilateral lesion can cause bilateral gaze palsy. We also report on the successful functional and vocational rehabilitation of the patient's vertical diplopia. To our knowledge, this is the first report of successful rehabilitation of a patient with bilateral vertical diplopia due to a central lesion.

Original language	English
Pages (from-to)	1306-1308
Number of pages	3
Journal	PM and R
Volume	7
Issue number	12
DOIs	https://doi.org/10.1016/j.pmrj.2015.04.011
State	Published - 1 Dec 2015
Externally published	Yes

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title = "Why Can't This Patient Look Up? Bilateral Vertical Gaze Palsy",

abstract = "We report a case of a patient with profound bilateral vertical gaze palsy resulting from a unilateral thalamic lesion-one of only a handful of such cases ever reported. The patient had significant symptomatic vertical diplopia that was disabling functionally and vocationally. We discuss pathways whereby a unilateral lesion can cause bilateral gaze palsy. We also report on the successful functional and vocational rehabilitation of the patient's vertical diplopia. To our knowledge, this is the first report of successful rehabilitation of a patient with bilateral vertical diplopia due to a central lesion.",

author = "Krishna Surapaneni and Lisa Ferguson and Altschuler, \{Eric L.\}",

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AU - Ferguson, Lisa

AU - Altschuler, Eric L.

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N2 - We report a case of a patient with profound bilateral vertical gaze palsy resulting from a unilateral thalamic lesion-one of only a handful of such cases ever reported. The patient had significant symptomatic vertical diplopia that was disabling functionally and vocationally. We discuss pathways whereby a unilateral lesion can cause bilateral gaze palsy. We also report on the successful functional and vocational rehabilitation of the patient's vertical diplopia. To our knowledge, this is the first report of successful rehabilitation of a patient with bilateral vertical diplopia due to a central lesion.

AB - We report a case of a patient with profound bilateral vertical gaze palsy resulting from a unilateral thalamic lesion-one of only a handful of such cases ever reported. The patient had significant symptomatic vertical diplopia that was disabling functionally and vocationally. We discuss pathways whereby a unilateral lesion can cause bilateral gaze palsy. We also report on the successful functional and vocational rehabilitation of the patient's vertical diplopia. To our knowledge, this is the first report of successful rehabilitation of a patient with bilateral vertical diplopia due to a central lesion.

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Why Can't This Patient Look Up? Bilateral Vertical Gaze Palsy

Abstract

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