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Eye-symptoms and results of therapy in thalamic infarction A case report
E. Pöschl, C. Blümel, E. Gersdorf, S. Clemens, G. Kietzmann
A 59-year old woman with complained of strong cephalgia, sickness and diplopia. She had a medical history of arterial hypertension since 15 years.
The patient was admitted under suspect of an subarachnoidal bleeding. The MRI revealed a new ischemic zone in the thalamus with an distinct oedema in the surrounding tissue. The eye-symptoms accept subjective diplopia were skew-deviation, horizontal and vertical nystagmus, anisocoria, abolished convergence and upper-eye-lid-retraction in upgaze.
We performed a combined strabismus surgery on the right eye with recession of the Musculus rectus inferior and resection of the Musculus rectus superior one year after infarction.
After the surgery with additionally ordered horizontal prism glasses the Patient archieved simultaneous vision in down- and leftgaze and had minimal compensating headposition .
Augenklinik, Ernst-Moritz-Arndt-Universität, Rubenowstr. 02, D-17489 Greifswald