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KMID : 0960220030020020227
Journal of the Korean Balance Society
2003 Volume.2 No. 2 p.227 ~ p.230
Ocular Contrapulsion in Medial Medullary Infarction


Moon So-Young


Abstract
Ocular contrapulsion refers to a syndrome of static ocular deviation and saccadic hypermetria toward the intact side, and saccadic h /pometria and impaired smooth pursuit toward the lesion side. It has been reported in patients with lesions in the i ostral cerebellum and caudal medullary hemorrhge. We report a 60-year-old man who showed ocular contrapulsion with unilateral upper medial medullary infarction. Ocular contrapulsion may be a sign of medial medullary infa --tion. In our patient, the climbing fibers may be damaged before crossing the midline in the upper medulla.
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