뇌출혈 후 발생한 파리노드증후군 1예

• 영문명: A Case of Parinaud Syndrome After Intracranial Hemorrhage
• 발행기관: 대한안과학회
• 저자명: 이소연 윤상원 강성모,So Yeon Lee, MD, Sang Won Yoon, MD, Sung Mo Kang, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number1, 172~175쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.01.15

영문 초록

Purpose: To report one case of Parinaud syndrome after intracranial hemorrhage. Case summary: A 45-year-old man visited our emergency department complaining of right-sided weakness and right-sided hypoesthesia. Intracranial hemorrhage in the left thalamus and intraventricular hemorrhage were noted upon brain computed tomography, and the patient was admitted to the department of neurosurgery. He complained of diplopia and upgaze palsy, and he was referred to the department of ophthalmology. The patient exhibited convergence-retraction nystagmus, light-near dissociation and vertical gaze limitation within 15 degrees. The best-corrected visual acuity of both eyes was 20/20, but convergence-retraction nystagmus and light-near dissociation still remained. Upgaze palsy was also not improved. Conclusions: Once symptoms manifest, Parinaud syndrome does not resolve except in patients with hydrocephalus. If the findings persist for more than 6 months, the likelihood of complete resolution is very small. We reported a case of typical Parinaud syndrome with upgaze palsy, convergence-retraction nystagmus and light-near dissociation after thalamic and intraventricular hemorrhage.

키워드

Convergence-retraction nystagmus, Light-near dissociation, Upgaze palsy