Bilateral horizontal gaze paralysis due to pontine hemorrhage. A case report

Clin Neurol Neurosurg. 1986;88(2):121-5. doi: 10.1016/s0303-8467(86)80007-5.


In a case of bilateral horizontal gaze paralysis, vertical gaze was clinically intact but eye movement recordings demonstrated a transient reduction of vertical saccadic velocities. Horizontal caloric vestibulo-ocular responses were absent. CT scanning and NMR imaging showed a hematoma in the median pontine tegmentum. This case provides additional evidence that vertical and horizontal saccade genesis may be independent of caudal paramedian pontine reticular formation lesions.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cerebral Hemorrhage / complications*
  • Cerebral Hemorrhage / diagnosis
  • Cerebral Hemorrhage / diagnostic imaging
  • Electrooculography
  • Humans
  • Magnetic Resonance Spectroscopy
  • Male
  • Ophthalmoplegia / etiology*
  • Ophthalmoplegia / physiopathology
  • Pons*
  • Radiography