Diverticulum of the Rostral Cerebral Aqueduct With Ocular Dysfunctions
1967; American Medical Association; Volume: 16; Issue: 1 Linguagem: Inglês
10.1001/archneur.1967.00470190036004
ISSN1538-3687
AutoresEdward J. Fredericks, CORNELIS VAN NUIS,
Tópico(s)Head and Neck Surgical Oncology
ResumoTHE ASSOCIATION of a congenital cerebral aqueductal diverticulum and ocular dysfunctions, characterized principally by paralysis of upward gaze and impaired pupillary reactions, has not been described previously. This report concerns a middle-aged man with a variety of midbrain ocular abnormalities, presumably present since birth, in association with an outpouching of the rostrodorsal aspect of the cerebral aqueduct. Report of a Case This 41-year-old Negro minister was admitted to the University Hospitals for the second time in February 1966 with the chief complaint of intermittent headaches of three years' duration. The headaches were characterized by bifrontal pressing pain, followed by tightening of the occipital and posterior neck muscles. These headaches usually lasted 8 to 12 hours and disappeared after sleeping. The most severe headaches would last for several days. At times the headaches were increased in the horizontal or erect position and partially relieved by lying with the head
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