Parinaud Syndrome in Association with Thalamic Infarct in a Young Person
Journal Title: Ophthalmology Research: An International Journal - Year 2014, Vol 2, Issue 5
Abstract
Aim: We report a case of Parinaud syndrome secondary to an acute left posteromedial thalamic infarct in a young person. Presentation of Case: Patient's main presenting complaints were blurring of vision and diplopia. The main clinical manifestations were that of a severe restriction in upward gaze, and convergence-retraction nystagmus. Discussion: Vertical gaze palsies have been well associated with midbrain lesions but more rarely associated with seemingly isolated thalamic lesions. This case report further supports current limited literature that suggests that thalamic lesions may also manifest as vertical gaze palsies. In addition, cases of cerebrovascular events are usually first seen in the Emergency Department where diagnoses are made and acute management is given. In this case, the patient was referred to the Eye clinic from the Emergency Department for visual symptoms. Parinaud syndrome was promptly recognised by the ophthalmologist upon examination and the decision for urgent brain imaging with referral to the neurologist was quickly made. Timely management of patient likely contributed to his favourable outcome. Conclusion: This is a case of Parinaud syndrome secondary to an acute left posteromedial thalamic infact in a young person without obvious midbrain involvement. This case highlights the important role of ophthalmologists in the early recognition of Parinaud syndrome, which can allow for prompt diagnosis and management. Timely diagnosis of Parinaud syndrome can be crucial to patient’s outcome.
Authors and Affiliations
Priscilla Xinhui Wang, Srinivasan Sanjay
Keywords
Related Articles
- EP ID EP338916
- DOI 10.9734/OR/2014/9343
- Views 79
- Downloads 0
Therapeutic Efficacy of Intravitreal Bevacizumab (Avastin)® in Patients with Parafoveal Telangiectasia Type II Complicated by Choroidal Neovascular Membrane and/or Cystoid Macular Edema
Aim: To evaluate the therapeutic efficacy of intravitreal bevacizumab (Avastin)® on visual acuity and macular edema in patients with parafoveal telangiectasia type II complicated by choroidal neovascular membrane and/or...
Case Reports of Previously Undiagnosed Cases of Homocystinuria Presenting as Displaced Lenses after Trivial Trauma
Eye is a window to a rare disease. Two children aged 9 year old male and 5 years old female presented with pain, redness and sudden diminution of vision in right eye and left eye respectively following trivial trauma whi...
Evaluation of Structural Changes in the Retina of Patients with Schizophrenia
Aim: To understand the potential of evaluating the thickness of the retinal nerve fiber layer (RNFL) and macular volume in patients with schizophrenia, using Optical Coherence Tomography (OCT), and its possible applicati...
Diplopia and Strabismus in Diabetics (Type II) and Non-diabetics in Yazd, Iran
Purpose: To describe the frequency of diplopia and strabismus in diabetics (Type II) and non-diabetics in Yazd, Iran. Methods: This is a cross-sectional study on 3000 patients including 1500 diabetics (type II) and 1500...
Comparative Analysis of the Mollon-reffin Minimal Colour Vision Test in Visually ‘Normal’ and Acquired Ocular Disease
Aim: Currently a variety of different colour vision tests exist in clinical practice each with its own merits and limitations. The Ishihara test is commonly used to test for congenital deficiency, causing red-green defic...