Paroxysmal Horizontal Diplopia Related to Brainstem Lesion

J Korean Neurol Assoc > Volume 26(3); 2008 > Article

Journal of the Korean Neurological Association 2008;26(3): 281-285.

뇌줄기 병변과 연관된 돌발수평겹보임

김치헌, 김석재 석진명 김병수 정진상 서대원

성균관대학교 의과대학 삼성서울병원 신경과학교실

Paroxysmal Horizontal Diplopia Related to Brainstem Lesion

Chi Hun Kim

Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

Abstract

Paroxysmal diplopia and dysarthria-ataxia have been reported in multiple sclerosis, stroke and Behcet’s disease. We present a case of 25-year-old man with multiple brain lesions, who developed paroxysmal horizontal dysconjugate eyeball deviation, dysarthria and ataxia. Subtraction ictal SPECT co-registered to MR images demonstrated hyperperfusion in the brainstem and cerebellum during the paroxysms.KeyWords:Brainstem, Cerebellum, Diplopia, Ataxia, Hypermetabolism

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