Transient isolated ocular motor abnormality related to perilesional edema of an acute medullary microbleed: A case report and review of the literatures

Woo-Jin Lee; Jee-Young Lee; Jae-Sung Lim; Hyung-Min Kwon; Yong-Seok Lee

doi:10.1016/j.clineuro.2015.08.029

Transient isolated ocular motor abnormality related to perilesional edema of an acute medullary microbleed: A case report and review of the literatures

Clin Neurol Neurosurg. 2015 Nov:138:174-6. doi: 10.1016/j.clineuro.2015.08.029. Epub 2015 Aug 29.

Authors

Woo-Jin Lee¹, Jee-Young Lee², Jae-Sung Lim¹, Hyung-Min Kwon¹, Yong-Seok Lee¹

Affiliations

¹ Department of Neurology, Seoul National University-Seoul Metropolitan Government Boramae Medical Center, College of Medicine, Seoul National University, Republic of Korea.
² Department of Neurology, Seoul National University-Seoul Metropolitan Government Boramae Medical Center, College of Medicine, Seoul National University, Republic of Korea. Electronic address: wieber04@snu.ac.kr.

PMID: 26355809
DOI: 10.1016/j.clineuro.2015.08.029

Abstract

We report a case of transient isolated gaze-evoked nystagmus with ocular lateropulsion in a patient with an acute medullary microbleed which was detected by brain magnetic resonance imaging. Considering the correlation between the neural structures involved by the lesion and the ocular motor symptoms of this patient, we suggest that the perilesional edema of the acute medullary microbleed is responsible for this transient ocular motor abnormality.

Keywords: Cerebral microbleeds; Isolated vertigo; Ocularpulsion.

Publication types

Case Reports
Review

MeSH terms

Aged
Edema / complications*
Humans
Lateral Medullary Syndrome / complications*
Lateral Medullary Syndrome / diagnosis
Magnetic Resonance Imaging
Male
Medulla Oblongata / pathology*
Nystagmus, Pathologic / etiology*
Vertigo / etiology
Vision, Ocular*