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Sustained downgaze as the only remained sign after regaining consciousness in hepatic encephalopathy

Authors
Park, DG | Kim, JS | Lee, SU | Lim, TS  | Moon, SY
Citation
Neurology Asia, 19(1). : 105-106, 2014
Journal Title
Neurology Asia
ISSN
1823-6138
Abstract
Sustained downgaze mostly occurs in association with lesions affecting the dorsal midbrain. We report sustained downgaze in a patient with hepatic encephalopathy. The sustained downgaze existed for seven more days after she regained her consciousness. The persistent downgaze even after regaining full consciousness indicates localized pretectal dysfunction rather than diffuse encephalopathy as the mechanism of sustained downgaze in our patient. The ocular motor dysfunction in hepatic encephalopathy may be due to localized dysfunction of the brainstem.
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Journal Papers > School of Medicine / Graduate School of Medicine > Neurology
Ajou Authors
문, 소영  |  임, 태성
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