Conjugate eye deviation due to traumatic striatal-subthalamic lesion

Viktor Bartanusz; Roy Thomas Daniel; Jean Guy Villemure

doi:10.1016/j.jocn.2004.03.033

Conjugate eye deviation due to traumatic striatal-subthalamic lesion

Viktor Bartanusz, Roy Thomas Daniel, Jean Guy Villemure

Neurosurgery

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

We report the case of a 22-year-old man after severe cranial trauma, who was noted to have conjugate eye deviation (CED) to the left. A magnetic resonance imaging (MRI) scan demonstrated a lesion in the left (ipsilateral) striatal-subthalamic region. The involvement of supranuclear fibres from the left frontal eye field (FEF) traveling to the right parapontine reticular formation (PPRF) could explain this clinical finding. Alternatively, involvement of deep brain nuclei, such as the striatum and the subthalamic nucleus, could be responsible for this phenomenon. This neurological presentation is unusual after severe cranial trauma.

Original language	English (US)
Pages (from-to)	92-93
Number of pages	2
Journal	Journal of Clinical Neuroscience
Volume	12
Issue number	1
DOIs	https://doi.org/10.1016/j.jocn.2004.03.033
State	Published - Jan 2005

Keywords

conjugate eye deviation
striatum
subthalamus
traumatic brain injury

ASJC Scopus subject areas

Surgery
Neurology
Clinical Neurology
Physiology (medical)

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AB - We report the case of a 22-year-old man after severe cranial trauma, who was noted to have conjugate eye deviation (CED) to the left. A magnetic resonance imaging (MRI) scan demonstrated a lesion in the left (ipsilateral) striatal-subthalamic region. The involvement of supranuclear fibres from the left frontal eye field (FEF) traveling to the right parapontine reticular formation (PPRF) could explain this clinical finding. Alternatively, involvement of deep brain nuclei, such as the striatum and the subthalamic nucleus, could be responsible for this phenomenon. This neurological presentation is unusual after severe cranial trauma.

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