Pontine gaze deviation and face turn relieved by eye muscle surgery

J Neuroophthalmol. 2008 Jun;28(2):104-6. doi: 10.1097/WNO.0b013e31817726fa.

Abstract

A 34-year-old woman developed a bilateral horizontal gaze palsy, left gaze deviation, and right face turn consequent to a pontine hemorrhage. A bilateral horizontal recession and resection of extraocular muscles in both eyes (Parks procedure) eliminated the gaze deviation and face turn. This is the first reported case in which this procedure was used to correct a face turn in a patient with bilateral horizontal gaze palsy but without ocular misalignment.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Face / physiopathology
  • Female
  • Hemangioma, Cavernous, Central Nervous System / complications
  • Humans
  • Intracranial Hemorrhages / complications
  • Neck Muscles / innervation
  • Neck Muscles / physiopathology
  • Neural Pathways / blood supply
  • Neural Pathways / pathology
  • Neural Pathways / physiopathology
  • Neurosurgical Procedures
  • Ocular Motility Disorders / etiology*
  • Ocular Motility Disorders / pathology
  • Ocular Motility Disorders / physiopathology*
  • Oculomotor Muscles / innervation
  • Oculomotor Muscles / physiopathology*
  • Oculomotor Muscles / surgery
  • Pons / blood supply
  • Pons / pathology
  • Pons / physiopathology*
  • Spasm / etiology
  • Spasm / physiopathology
  • Torticollis / etiology*
  • Torticollis / pathology
  • Torticollis / physiopathology*
  • Treatment Outcome