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March 1978

Intermittent See-Saw Eye Movements: Report of a Patient in Coma After Hyperextension Head Injury

Author Affiliations

From the Department of Neurology, University of Southern California/Los Angeles County Medical Center, Los Angeles.

Arch Neurol. 1978;35(3):173-174. doi:10.1001/archneur.1978.00500270055012

• For 24 hours after an automobile accident, a 19-year-old comatose man exhibited spontaneous, intermittent, see-saw, rotatory, and downward eye movements, with synchronous lid elevation. These unusual movements, which appear most closely related to nonpendular see-saw nystagmus and atypical ocular bobbing, probably resulted from the severe pontomedullary tegmental damage found at autopsy.