Abstract

A 43-year-old woman experienced a worsening of her usual headache. As a right hemifacial hypoesthesia had appeared, the patient underwent a brain MRI that revealed a giant cavernoma localized at the left meso-diencephalic region (figure, A and B). After the operation, an involuntary ocular oscillation known as see-saw nystagmus developed (video on the Neurology® Web site at www.neurology.org). See-saw nystagmus consists of alternating phases of intorsion of the elevating eye and extorsion of the descending eye.(1) The patient displayed a right head tilt with left hypertropia referred to as "ocular tilt reaction" (figure, C)-a phenomenon related to the imbalance in the graviceptive pathways between vestibular nuclei and the interstitial nucleus of Cajal (figure, D).(2.)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call

Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.