A Case of Parinaud Syndrome After Intracranial Hemorrhage.

Lee, So Yeon; Yoon, Sang Won; Kang, Sung Mo

doi:2009.50.1.172

J Korean Ophthalmol Soc > Volume 50(1); 2009 > Article

Case Report

Journal of the Korean Ophthalmological Society 2009;50(1):172-175.
DOI: https://doi.org/10.3341/jkos.2009.50.1.172 Published online January 15, 2009.

A Case of Parinaud Syndrome After Intracranial Hemorrhage.

So Yeon Lee, Sang Won Yoon, Sung Mo Kang

Department of Ophthalmology, Inha University College of Medicine, Incheon, Korea. ksm0724@medimail.co.kr

뇌출혈 후 발생한 파리노드증후군 1예

이소연ㆍ윤상원ㆍ강성모

Department of Ophthalmology, Inha University College of Medicine, Incheon, Korea

Abstract

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.

Key Words: Convergence-retraction nystagmus;Light-near dissociation;Upgaze palsy