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Exodeviated Ophthalmoplegia in a Patient with Progressive Supranuclear Palsy
Authors:Chansok Kim  Ho Won Lee  and Mee Young Park
Institution:1Department of Neurology, Han Family Hospital, Daegu, Korea.;2Department of Neurology, College of Medicine, Kyungpook National University, Daegu, Korea.;3Department of Neurology, College of Medicine, Yeungnam University, Daegu, Korea.
Abstract:We report a patient with progressive supranuclear palsy (PSP) with his serial photographs before the onset of ocular symptoms and after the onset with two year intervals. These photographs show his progressive eyeball deviations toward complete exotropia. There were no effective voluntary eyeball movements, Bell''s phenomenon, doll''s eye movements, and vestibulo-ocular reflexes. These signs indicate the involvement of the oculomotor nuclear complex by the disease. We suggest that PSP may cause not only ''supranuclear'' but also ''nuclear'' complete ophthalmoplegia with exodeviation of the eyes.
Keywords:Supranuclear Palsy  Progressive  Ophthalmoplegia
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