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September 1989

Acquired Contralateral Oculomotor Synkinesis

Author Affiliations

From the Departments of Ophthalmology (Drs Guy, Engel, and Lessner) and Neurology (Dr Guy), University of Florida College of Medicine, Gainesville.

Arch Neurol. 1989;46(9):1021-1023. doi:10.1001/archneur.1989.00520450093026

• A patient with a traumatic right third nerve paresis had a contralateral oculomotor synkinesis develop that involved the left upper eyelid. With infraduction in adduction of the nonparetic left globe, the left upper eyelid was elevated. Elevation of the right upper eyelid was present in adduction of the paretic eye but absent in downgaze. To our knowledge this is the first description of the pseudo-Graefe phenomenon developing contralateral to the regenerating paretic third nerve.