Isolated Medial Rectus Palsy: Rare Presentation of Mesencephalon Infarction

Yindan Yao; Wenke Hong; Zhenyi Fan; Da Li; Xianchao Chang; Weinv Fan

doi:10.1016/j.jstrokecerebrovasdis.2016.11.119

Isolated Medial Rectus Palsy: Rare Presentation of Mesencephalon Infarction

J Stroke Cerebrovasc Dis. 2017 Apr;26(4):e53-e54. doi: 10.1016/j.jstrokecerebrovasdis.2016.11.119. Epub 2017 Jan 20.

Authors

Yindan Yao¹, Wenke Hong¹, Zhenyi Fan¹, Da Li¹, Xianchao Chang¹, Weinv Fan²

Affiliations

¹ Department of Neurology, Ningbo No. 2 Hospital, Ningbo, Zhejiang, China.
² Department of Neurology, Ningbo No. 2 Hospital, Ningbo, Zhejiang, China. Electronic address: 13685701750@163.com.

PMID: 28117209
DOI: 10.1016/j.jstrokecerebrovasdis.2016.11.119

Abstract

Isolated medial rectus palsy due to mesencephalon lesion is extremely rare. We here describe a patient of midbrain infarction involving the medial rectus subnuclei presenting as isolated medial rectus palsy. Axial diffusion-weighted and coronal T2-weighted magnetic resonance imaging showed acute ischemic lesion in mesencephalon.

Keywords: Stroke; diplopia; medial rectus; mesencephalon; oculomotor nerve.

Publication types

Case Reports

MeSH terms

Cerebral Infarction / complications*
Humans
Image Processing, Computer-Assisted
Magnetic Resonance Imaging
Male
Mesencephalon / diagnostic imaging
Mesencephalon / pathology*
Middle Aged
Nystagmus, Pathologic / diagnostic imaging
Nystagmus, Pathologic / etiology*
Paralysis / diagnostic imaging
Paralysis / etiology*