Ocular Motor Palsy After Spinal Puncture

2017 ◽  
Vol 61 (4) ◽  
pp. 112
Author(s):  
M. Del-Rio-Vellosillo ◽  
J. J. Garcia-Medina ◽  
M. D. Pinazo-Duran ◽  
A. Abengochea-Cotaina ◽  
M. Barbera-Alacreu
Keyword(s):  
2017 ◽  
Vol 42 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Monica del-Rio–Vellosillo ◽  
José J. Garcia-Medina ◽  
Maria Dolores Pinazo-Duran ◽  
Antonio Abengochea-Cotaina ◽  
Manuel Barbera-Alacreu
Keyword(s):  

Author(s):  
Davor Petrović ◽  
Vida Čulić ◽  
Zofia Swinderek-Alsayed

AbstractJoubert syndrome (JS) is a rare congenital, autosomal recessive disorder characterized by a distinctive brain malformation, developmental delay, ocular motor apraxia, breathing abnormalities, and high clinical and genetic heterogeneity. We are reporting three siblings with JS from consanguineous parents in Syria. Two of them had the same homozygous c.2172delA (p.Trp725Glyfs*) AHI1 mutation and the third was diagnosed prenatally with magnetic resonance imaging. This pathogenic variant is very rare and described in only a few cases in the literature. Multinational collaboration could be of benefit for the patients from undeveloped, low-income countries that have a low-quality health care system, especially for the diagnosis of rare diseases.


Purpose: This case discusses the neurological impact of Wallenberg syndrome on the visual-vestibular system and provides a clinical pathologic correlation between neuro-anatomic involvements with the manifesting symptoms. Case Report: A 50-year-old male presented for consultation following a left lateral medullary infarct occlusion of the left vertebral artery (Wallenberg syndrome) with complaints of intermittent binocular diplopia, vertigo, and oscillopsia. Assessment revealed an intermittent central nystagmus, a right skew deviation, and a left Horner’s syndrome. Video recordings of the nystagmus and ocular motor responses were documented. Conclusion: Wallenberg syndrome has very defined characteristics which can be used clinically to make a definitive diagnosis.It is important for eye care professionals to understand the neuro-anatomic involvements associated with this condition and make the clinical correlation to aid in the treatment and management of these patients.


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