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Parinaud's oculoglandular syndrome (POS) is a medical condition characterized by a specific set of symptoms affecting the eye and nearby lymph nodes. Named after the French ophthalmologist Henri Parinaud , it should not be confused with the neurological syndrome caused by a lesion in the midbrain which is also known as Parinaud's syndrome .
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.
Cyclotropia can be detected using subjective tests such as the Maddox rod test, the Bagolini striated lens test, [6] the phase difference haploscope of Aulhorn, [6] or the Lancaster red-green test (LRGT). Among these, the LRGT is the most complete. [7] Cyclotropia can also be diagnosed using a combination of subjective and objective tests.
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.
Parinaud's oculoglandular syndrome is the most common ocular manifestation of CSD, [4] and is a granulomatous conjunctivitis with concurrent swelling of the lymph node near the ear. [7] Optic neuritis or neuroretinitis is one of the atypical presentations.
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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]
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related to: parinaud's syndrome convergence test for cats- 3660 Ridge Mill Drive, Hilliard, OH · Directions · (614) 300-0923