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KMID : 0359719950130030703
Journal of the Korean Neurological Association
1995 Volume.13 No. 3 p.703 ~ p.705
A Case of Non-paralytic pontine Exotropia in Brain Stem Infarction
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Abstract
Paralytic pontine extropia (PPE) is a exotropia in contralateral eye of lesion side, associated with one-anda-half syndrome in acute phase of brainstem infarction and after then, often followed by non-paralytic pontine extropia (NPPE) and medial
longitudinal fasciculus (MLF) syndrome in each clinical improvement. NPPE is p ntine exotropia without lateral gaze palsy to ipsilateral side and is considered to be due to partial impairment of the unilateral paramedian pontine reticular
formation
(PPRF). We reported a case, 75 yearold man, of brainstem infarction who initially presented NPPE in acute phase, followed by ipsialteral MLF syndrome after 5 th days.
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