Contraversive Ocular Tilt Reaction with Contralesional Pseudo-Abducens Palsy in a Patient with Thalamomesencephalic Stroke

Mohamad Fateh Dabbagh; Lina Okar; Dirk Deleu; Boulenouar Mesraoua

doi:10.1159/000531085

Contraversive Ocular Tilt Reaction with Contralesional Pseudo-Abducens Palsy in a Patient with Thalamomesencephalic Stroke

Case Rep Neurol. 2023 Jun 1;15(1):140-145. doi: 10.1159/000531085. eCollection 2023 Jan-Dec.

Authors

Mohamad Fateh Dabbagh¹, Lina Okar², Dirk Deleu³, Boulenouar Mesraoua³

Affiliations

¹ Department of Medicine, Aleppo University, Aleppo, Syria.
² Department of Medical Education, Hamad Medical Corporation, Doha, Qatar.
³ Departments of Neurology, Neuroscience Institute, Hamad Medical Corporation, Doha, Qatar.

Abstract

We report a patient presenting with unique neuroophthalmological features of contraversive ocular tilt reaction and concomitant contralesional pseudo-abducens palsy. Magnetic resonance imaging confirmed the presence of an acute infarct in the right thalamomesencephalic region. We discuss the clinical topography of these unique neuroophthalmological findings.

Keywords: Interstitial nucleus of Cajal; Midbrain; Ocular motility; Oculomotor palsy; Ophthalmoplegia; Stroke; Vertical gaze.

Publication types

Case Reports

Grants and funding

No funding was required.