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January 1967

Diverticulum of the Rostral Cerebral Aqueduct With Ocular Dysfunctions

Author Affiliations

From the Department of Neurology, University of Wisconsin Medical Center, Madison, Wis.

Arch Neurol. 1967;16(1):32-36. doi:10.1001/archneur.1967.00470190036004

THE ASSOCIATION of a congenital cerebral aqueductal diverticulum and ocular dysfunctions, characterized principally by paralysis of upward gaze and impaired pupillary reactions, has not been described previously. This report concerns a middle-aged man with a variety of midbrain ocular abnormalities, presumably present since birth, in association with an outpouching of the rostrodorsal aspect of the cerebral aqueduct.

Report of a Case  This 41-year-old Negro minister was admitted to the University Hospitals for the second time in February 1966 with the chief complaint of intermittent headaches of three years' duration. The headaches were characterized by bifrontal pressing pain, followed by tightening of the occipital and posterior neck muscles. These headaches usually lasted 8 to 12 hours and disappeared after sleeping. The most severe headaches would last for several days. At times the headaches were increased in the horizontal or erect position and partially relieved by lying with the head