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Parinaud's syndrome is a cluster of abnormalities of eye movement and pupil dysfunction, characterized by: Paralysis of upwards gaze: Downward gaze is usually preserved. This vertical palsy is supranuclear , so doll's head maneuver should elevate the eyes, but eventually all upward gaze mechanisms fail.
A third cause of light-near dissociation is Parinaud syndrome, also called dorsal midbrain syndrome. This uncommon syndrome involves vertical gaze palsy associated with pupils that “accommodate but do not react." [5] The causes of Parinaud syndrome include brain tumors (pinealomas), multiple sclerosis and brainstem infarction.
Frequently, paralysis of upward gaze along with several ocular findings such as convergence retraction nystagmus and eyelid retraction also known as Collier's sign and Light Near Dissociation (pupil accommodates but doesn't react to light) are known collectively as Parinaud's syndrome [1] or Dorsal Mid-brain syndrome, are the only physical ...
The most common cause of POS is cat-scratch disease, an infectious disease that typically results from a scratch or bite from a cat. However, this syndrome is an unusual feature of cat-scratch disease. In rare cases, other infections may also cause the syndrome. [1] Bartonella henselae [2] Francisella tularensis [3] Herpes simplex virus type 1 [4]
The symptoms and signs associated with convergence insufficiency are related to prolonged, visually demanding, near-centered tasks. They may include, but are not limited to, diplopia (double vision), asthenopia (eye strain), transient blurred vision, difficulty sustaining near-visual function, abnormal fatigue, headache, and abnormal postural adaptation, among others.
Parinaud's syndrome, which can mimic some aspects of spasm of the near reflex, such as excessive accommodation and convergence; however, pupillary near-light dissociation, not miosis, is a feature of Parinaud's syndrome. [8]
Toggle Causes subsection. 1.1 Age. 1.2 Diseases. 1.3 Drugs. 2 Physiology of the photomotor reflex. 3 See also. ... Parinaud's syndrome; Pupillary light reflex; Syphilis;
One and a half syndrome; Other names: On-and-a-half syndrome: Diagram of normal eye movement compared to left one-and-a-half syndrome (i.e. left lateral gaze palsy, with left Internuclear ophthalmoplegia (inability to adduct)) Causes: Demyelinating disease, e.g. Multiple sclerosis; Infarction; Infections, e.g. Brainstem encephalitis and ...