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Query: UMLS:C0029089 (ophthalmoplegia)
 3,338 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The authors present an account of a comprehensive two-stage solution of divergent paralytic strabismus in ophthalmoplegia without marked affection of the upper eyelid. In the first stage they implement a free technique retroposition of the external rectus muscle by 6.5 mm and myectomy of the internal rectus by 10-12 mm. In the second stage they supplement the surgical procedure by transposition of the superior oblique muscle according to Scott's method. In five children with unilateral paresis of the IIIrd nerve mere transposition improved hypertropia by a maximum of 5 degrees and exotropia by a maximum of 10 degrees.
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PMID:[The Scott method of superior oblique muscle transposition in ophthalmoplegia]. 152 92

A 42-year-old young lady presented with acute onset of dizziness, drooping of left eye with binocular diplopia and inability to walk unassisted. She had past history of uncontrolled diabetes mellitus and hypertension. On examination, she had left fascicular type of third nerve palsy, vertical one and half syndrome (VOHS), left internuclear ophthalmoplegia and skew deviation with ipsilesional hypertropia. She also had thalamic astasia and right unilateral asterixis. Her MRI revealed T2 and Flair hyper intense signal changes with restricted diffusion in the left thalamus, subthalamus and left midbrain. MR Angiography was normal. Thalamic-subthalamic paramedian territory infarct is relatively uncommon. It can present with oculomotor abnormalities including vertical one and half syndrome, skew deviation, thalamic astasia and asterixis. This case is reported for the rarity of the presenting clinical findings in unilateral thalamo-mesencephalic infarcts.
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PMID:Unilateral asterixis, thalamic astasia and vertical one and half syndrome in a unilateral posterior thalamo-subthalamic paramedian infarct: An interesting case report. 2391 12