Thalamic Infarct

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Thalamic Infarct

Thalamic Infarct

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EOM day 13Eyes straight in primary gazeFull horizontal gaze, gaze evokednystagmus OUFull upward gaze, no nystagmusParesis of downgaze i.e. saccades downPursuit downgaze almost fullVertical doll’s head intactConvergence absentIntact horizontal OKN, absent vertical OKN

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Horizontal Gaze Palsy

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Supranuclear Paralysis of Vertical Gaze

Constructional Apraxia

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Lid Lag

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Lateropulsion

Alexia without Agraphia

Upbeat Nystagmus

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Claude's Syndrome

Progressive Supranuclear Palsy

Horizontal Gaze Palsy

OE Day 13Alert and oriented with normal speechVA 20/25 OU, full fieldsPupils 4 mm OU, reacted briskly to lightand near

EOM day 13Eyes straight in primary gazeFull horizontal gaze, gaze evokednystagmus OUFull upward gaze, no nystagmusParesis of downgaze i.e. saccades downPursuit downgaze almost fullVertical doll’s head intactConvergence absentIntact horizontal OKN, absent vertical OKN

Page 1: 945-2Thalamic Infarct
Page 4 and 5: Figure 3. Midbrain
Page 6 and 7: Figure 5. Left cerebellar infarct
Page 8 and 9: SomnolenceA 64-year old man suddenl
Page 10 and 11: OESomnolent responding to ordersNor
Page 14 and 15: ReferencesBüttner U, Büttner-Enne
Page 16: http://library.med.utah.edu/NOVEL/W