• Twenty-five patients with upper brain-stem damage after severe transtentorial herniation showed a variety of residual oculomotor signs. Pupillary abnormalities (19 patients), ptosis (15 patients), internuclear ophthalmoparesis (13 patients), vertical gaze paresis (14 patients), and third-nerve dysfunction (11 patients) were the principal findings.
Keane JR. Bilateral Ocular Motor Signs After Tentorial Herniation in 25 Patients. Arch Neurol. 1986;43(8):806–807. doi:https://doi.org/10.1001/archneur.1986.00520080050019
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