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Parinaud’s syndrome due to an unilateral vascular ischemic lesion

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Abstract

A 59-year-old man who complained of binocular vertical diplopia after an exploratory laparotomy, complicated by cardiorespiratory arrest during anesthetic induction, was found to have Collier’s sign, anisocoria, complete paralysis of upward vertical gaze associated with convergence-retraction nystagmus on attempted upgaze and skew deviation with hypertropia in the left eye without ptosis, and an absent Bielschowsky sign. Magnetic resonance imaging of the brain showed a small lesion in the left paramedian midbrain compatible with microvascular ischemic sequelae. This patient was diagnosed with Parinaud’s syndrome (dorsal midbrain syndrome) associated with a vertical strabismus from an unilateral vascular ischemic paramedian midbrain lesion.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical standards

The manuscript does not contain clinical studies with human participants or animals performed by any of the authors. Informed consent was obtained from individual participant included in the study. Additional informed consent was obtained from the individual participant for whom identifying information is included in this article.

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Authors and Affiliations

  1. Department of Ophthalmology, Pedro Hispano Hospital, Rua Dr. Eduardo Torres, Senhora da Hora, 4464-513, Matosinhos, Portugal

    Josefina Serino, Ana Duarte & Isabel Ribeiro

  2. Department of Neurology, Pedro Hispano Hospital, Matosinhos, Portugal

    João Martins

  3. The Institute of Ophthalmology Dr. Gama Pinto, Lisbon, Portugal

    Liliana Páris

Authors
  1. Josefina Serino
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  2. João Martins
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  3. Liliana Páris
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  4. Ana Duarte
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  5. Isabel Ribeiro
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Corresponding author

Correspondence to Josefina Serino.

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Converge-retraction nystagmus on attempting an upward gaze (MPG 2190 kb)

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Serino, J., Martins, J., Páris, L. et al. Parinaud’s syndrome due to an unilateral vascular ischemic lesion. Int Ophthalmol 35, 275–279 (2015). https://doi.org/10.1007/s10792-015-0045-y

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  • DOI: https://doi.org/10.1007/s10792-015-0045-y

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