AI Article Synopsis
- Parinaud syndrome is characterized by upward gaze paralysis, convergence-retraction nystagmus, and a unique response of pupils to light and near stimuli.
- A 62-year-old male experienced vision loss, dry eyes, and trouble walking, prompting an eye examination that showed nystagmus during convergence.
- MRI results indicated lesions in specific brain areas, suggesting that hypertension-related microangiopathies were likely responsible for the development of Parinaud syndrome in this case.
Article Abstract
Parinaud syndrome, which most commonly involves the dorsal midbrain, has classical features of upward gaze paralysis, convergence-retraction nystagmus, and pupillary light near dissociation. A 62-year-old male presented to the Eye department with diminution of vision and symptoms of dry eye with associated difficulty in walking. Examination revealed nystagmus while performing convergence test. An MRI revealed lesions in the thalamic and gangliocapsular regions. Microangiopathies involving the thalamus and gangliocapsular region can lead to Parinaud syndrome. In our case, microangiopathies were most probably hypertensive.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088869 | PMC |
| http://dx.doi.org/10.7759/cureus.58120 | DOI Listing |
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