Ocular flutter associated with a localized lesion in the paramedian pontine reticular formation.

Abstract:

:Ocular flutter is a rare horizontal eye movement disorder characterized by rapid saccadic oscillations. It has been hypothesized that it is caused by loss of "pause" neuronal inhibition of "burst" neuron function in the paramedian pontine reticular formation (PPRF); however, there have been no imaging studies confirming such anatomical localization. We report the case of a woman with an acute attack of multiple sclerosis associated both with ocular flutter and a circumscribed pontine lesion, mainly involving the PPRF on magnetic resonance imaging. As she recovered from the attack, both the midline pontine lesion and the ocular flutter dramatically improved. This case is the first clear evidence that at least some cases of ocular flutter are due to lesions involving the PPRF.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Schon F,Hodgson TL,Mort D,Kennard C

doi

10.1002/ana.1140

keywords:

subject

Has Abstract

pub_date

2001-09-01 00:00:00

pages

413-6

issue

3

eissn

0364-5134

issn

1531-8249

journal_volume

50

pub_type

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