J Clin Neurol.  2006 Jun;2(2):134-136. 10.3988/jcn.2006.2.2.134.

Ocular Motor Apraxia after Sequential Bilateral Striatal Infarctions

Affiliations
  • 1Department of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. chungpw@hanmail.net

Abstract

Ocular motor apraxia has been reported in bilateral frontoparietal lesions. We report a case of ocular motor apraxia after bilateral striatal infarctions. The patient had impaired voluntary saccades and smooth pursuits in the vertical and horizontal planes with an intact vestibulo-ocular reflex. Magnetic resonance imaging showed an old left putaminal infarction and an acute infarction in the right caudoputaminal area. This case demonstrates that ocular motor apraxia may occur in bilateral basal ganglia lesions.

Keyword

Ocular motor apraxia; MRI; Basal ganglia

MeSH Terms

Apraxias*
Basal Ganglia
Humans
Infarction*
Magnetic Resonance Imaging
Pursuit, Smooth
Reflex, Vestibulo-Ocular
Saccades

Figure

  • Figure 1 Brain magnetic resonance imaging (MRI) of the patient. Diffusion-weighted MRI (A) shows acute infarction in right basal ganglia, and T2-weighted coronal (B) and axial (C) images show chronic infarction in the left caudo- putamen and acute infarction in the right caudo-putaminal area.


Cited by  2 articles

Early Recurrent Right Basal Ganglia Infarction after Intravenous Thrombolysis for Left Basal Ganglia Infarction Management
Hye Min Ji, Jee Hyun Suh, Yu Hui Won, Tae Sik Yoon
Brain Neurorehabil. 2014;7(2):143-146.    doi: 10.12786/bn.2014.7.2.143.

A Case of Acquired Ocular Motor Apraxia Accompanied with Esotropia due to Multiple Brain Infarcts
Yong Dae Kim, Seong Joon Kim
J Korean Ophthalmol Soc. 2014;55(9):1396-1400.    doi: 10.3341/jkos.2014.55.9.1396.


Reference

1. Leigh RJ, Zee DS. The neurology of eye movements. 1999. 3rd edn. Philadelphia: Oxford University Press;542–543.
2. Cogan DG. A type of congenital ocular motor apraxia presenting jerky head movements. Am J Ophthalmol. 1953. 36:433–441.
Article
3. Pierrot-Deseilligny C, Gautier JC, Loron P. Acquired ocular motor apraxia due to bilateral frontoparietal infarcts. Ann Neurol. 1988. 23:199–202.
4. Dehaene I, Lammens M. Paralysis of saccades and pusuit:clinicopathologic study. Neurology. 1991. 41:414–415.
Article
5. Devere TR, Lee AG, Hamill MB, Bhasin D, Orengo-Nania S, Coselli JS. Acquired supranuclear ocular motor paresis following cardiovascular surgery. J Neuroophthalmol. 1997. 17:189–193.
Article
6. Muri RM, Iba-Zizen MT, Derosier C, Cabanis EA, Pierrot-Deseilligny C. Location of the human posterior eye field with functional magnetic resonance imaging. J Neurol Neurosurg Psychiatry. 1996. 60:445–448.
Article
7. Pierrot-Deseilligny C, Rosa A, Masmoudi K, Rivaud S, Gaymard B. Saccade deficits after a unilateral lesion affecting the superior colliculus. J Neurol Neurosurg Psychiatry. 1991. 54:1106–1109.
Article
8. Morrow MJ, Sharpe JA. Cerebral hemispheric localization of smooth pursuit asymmetry. Neurology. 1990. 40:284–292.
Article
9. Tekin S, Cummings JL. Frontal-subcortical neuronal circuits and clinical neuropsychiatry: an update. J Psychosom Res. 2002. 53:647–654.
10. Pierrot-Deseillingny C, Gaymard B, Muri R, Rivaud S. Cerebral ocular motor signs. J Neurol. 1997. 244:65–70.
Article
11. Vermersch A-I, Muri RM, Rivaud S, Vidaihet M, Gaymard B, Agid Y, et al. Saccade disturbances after bilateral lentiform nucleus lesions in humans. J Neurol Neurosurg Psychiatry. 1996. 60:179–184.
Article
12. Pierrot-Deseillingny C. Saccade and smooth-pursuit impairment after cerebral hemispheric lesions. Eur Neurol. 1994. 34:121–134.
Article
13. Boghen D. Apraxia of lid opening: a review. Neurology. 1997. 48:1491–1494.
14. Monaco F, Pirisi A, Sechi GP, Cossu G. Acquired ocular motor apraxia and right-sided cortical angioma. Cortex. 1980. 16:159–167.
Article
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