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Case Reports
. 2003 Nov;60(11):1633-5.
doi: 10.1001/archneur.60.11.1633.

Isolated superior rectus palsy due to contralateral midbrain infarction

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Case Reports

Isolated superior rectus palsy due to contralateral midbrain infarction

Jee-Hyun Kwon et al. Arch Neurol. 2003 Nov.

Abstract

Background: Isolated superior rectus palsy due to a contralateral midbrain lesion has not been reported.

Case description: A 71-year-old woman suddenly developed diplopia. Examination showed that she had isolated superior rectus paresis. Magnetic resonance imaging showed a tiny infarct at the area of the oculomotor nucleus on the contralateral side.

Conclusion: Isolated superior rectus palsy may be caused by a contralateral midbrain lesion that selectively involves crossing superior rectus nerve fibers.

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