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Magnetic Resonance Imaging Findings in Divergence Paralysis
Authors:Hiromasa Tsuda  Hiroshi Ishikawa  Noriko Koga  Harumi Ishikawa  Kenji Miki  Tomohiko Mizutani
Affiliation:1. Division of Neurology, Department of Medicine, Nihon University, School of Medicine, Tokyo, Japan;2. Department of Ophthalmology, Nihon University, School of Medicine, Tokyo, Japan;3. Department of Ophthalmology, Meikai University Hospital, Meikai University, School of Dentistry, Saitama, Japan
Abstract:We report magnetic resonance imaging (MRI) findings in two patients with divergence paralysis that was secondary to multiple sclerosis and pontine infarction, respectively. In both patients, cranial MRI showed lesions in the unilateral tegmentum of the caudal pons. Therefore, these MRI findings suggested that involvement of the nucleus reticularis tegmenti pontis might be responsible for the divergence paralysis in our cases.
Keywords:Diplopia  divergence paralysis  magnetic resonance imaging (MRI)  multiple sclerosis  nucleus reticularis tegmenti pontis (NRTP)  pontine infarction
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