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March 1980

Bilateral Gaze Paralysis With Positive Computerized Tomography FindingsA Clinicoanatomic Correlation

Author Affiliations

From the Divisions of Neurology (Drs DeCarvalho and Shuttleworth) and Dermatology (Drs Knox, Dandalides, and Lowney), Department of Medicine, Ohio State University, Columbus.

Arch Neurol. 1980;37(3):184-186. doi:10.1001/archneur.1980.00500520082019

• The subacute development of an almost isolated bilateral gaze paralysis in a patient with mycosis fungoides allowed a unique opportunity for in vivo clinicoanatomical correlation when enhanced computerized tomography (CT) scan revealed two extremely small lesions of the pontine tegmentum. The larger lesion involved the region occupied by the medial longitudinal fasciculus and the paramedian pontine reticular formation (PPRF) bilaterally, and was alone sufficient to account for the eye movement disorder.