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Neurocritical Care
Published in: Neurocritical Care 2/2021

01-04-2021 | Hematoma | Neuro-Images

Lid and Convergence Retraction Nystagmus in Thalamic–Midbrain Hematoma

Authors: Kristen M. Scheitler, Rafid Mustafa, Eelco F. M. Wijdicks

Published in: Neurocritical Care | Issue 2/2021

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Excerpt

Convergence retraction nystagmus, while non-prognostic, localizes to the dorsal midbrain posterior commissure and underscores the severity of hematoma extension in this patient [1]. Characteristically, the eyes will show a posterior (fast phase)–anterior (retraction) movement during the nystagmus. Dysconjugate horizontal jerk nystagmus, in which both eyes converge during the fast phase and diverge during the slow phase, has also been described [1]. The pathological mechanism behind convergence retraction nystagmus remains unknown. …
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Literature
1.
Rambold H, Kompf D, Helmchen C. Convergence retraction nystagmus: a disorder of vergence? Ann Neurol. 2001;50(5):677–81.CrossRef
2.
Pick A. Kleine Beitrage zur Neurologie des Auges; 11. Uber den Nystagmus der Bulbi begleitende gleichartige Bewegungen des oberen Augenlides (Nystagmus des Oberlides.). Arch Augenheilk. 1916;80:36–40.
3.
Brodsky MC, Boop FA. Lid nystagmus as a sign of intrinsic midbrain disease. J Neuroophthalmol. 1995;15(4):236–40.PubMed
4.
Daroff RB, Hoyt WF, Sanders MD, Nelson LR. Gaze-evoked eyelid and ocular nystagmus inhibited by the near reflex: unusual ocular motor phenomena in a lateral medullary syndrome. J Neurol Neurosurg Psychiatry. 1968;31(4):362–7.CrossRef
Metadata
Title
Lid and Convergence Retraction Nystagmus in Thalamic–Midbrain Hematoma
Authors
Kristen M. Scheitler
Rafid Mustafa
Eelco F. M. Wijdicks
Publication date
01-04-2021
Publisher
Springer US
Published in
Neurocritical Care / Issue 2/2021
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI
https://doi.org/10.1007/s12028-020-01024-z

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