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KMID : 0359720080260030281
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Journal of the Korean Neurological Association
2008 Volume.26 No. 3 p.281 ~ p.285
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Paroxysmal Horizontal Diplopia Related to Brainstem Lesion
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Kim Chi-Hun
Kim Suk-Jae
Seok Jin-Myoung
Kim Byung-Su
Chung Chin-Sang
Seo Dae-Won
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Abstract
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Paroxysmal diplopia and dysarthria-ataxia have been reported in multiple sclerosis, stroke and Behcet’s disease. We present a case of 25-year-old man with multiple brain lesions, who developed paroxysmal horizontal dysconjugate eyeball deviation, dysarthria and ataxia. Subtraction ictal SPECT co-registered to MR images demonstrated hyperperfusion in the brainstem and cerebellum during the paroxysms.
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KEYWORD
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Brainstem, Cerebellum, Diplopia, Ataxia, Hypermetabolism
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