Levator-sparing nuclear oculomotor palsy. Clinical and magnetic resonance imaging findings

J Clin Neuroophthalmol. 1992 Mar;12(1):26-30.


Two patients with diplopia presented with unilateral oculomotor palsy, defective elevation of the contralateral eye, and sparing of the levator palpebrae muscle. In each case, magnetic resonance imaging disclosed an infarction of the oculomotor nuclear complex in the mesencephalon. This clinical neuroradiological correlation is consistent with Warwick's scheme pertaining to the neuroanatomy of the oculomotor nuclear complex and demonstrates the utility of MRI in diagnosing ocular motility disorders of brainstem origin.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Cerebral Infarction / diagnosis
  • Diplopia / diagnosis
  • Eyelids / innervation*
  • Humans
  • Magnetic Resonance Imaging*
  • Male
  • Middle Aged
  • Muscles / innervation*
  • Ocular Motility Disorders / diagnosis
  • Oculomotor Muscles / innervation
  • Oculomotor Nerve Diseases / diagnosis*
  • Superior Colliculi / pathology