Author/Editor		Najim Al-Din, AS; Anderson, M; Eeg-Olofsson, O; Trontelj, JV
Title		Neuro-ophthalmic manifestations of the syndrome of ophtalmoplegia, ataxia and areflexia
Type		članek
Source		Acta Neurol Scand
Vol. and No.		Letnik 89
Publication year		1994
Volume		str. 87-94
Language		eng
Abstract		The neuro-ophthalmological manifestations of 20 patients with the syndrome of opthalmoplegia, ataxia and areflexia are described. The symmetrical nature of the ophthalmoplegia and the associated cerebellar ataxia point to centrally placed lesions. Several supranuclear, nuclear and internuclear ophthalmological signs are identified. Some of these, like partial sparing of the levator palpebrae and normal downgaze in the presence of sevre opthalmoplegia are noted too frequently to be just unusual signs of peripheral oculomotor dysfunction. Other identified features included upper lid retraction on attempted upgaze and preserved Bell's phenomenon in the presence of paralysis of the latter, as well as several other central opthalmological signs. These findings contrast with those seen in the Gullain-Barre syndrome and, thus, the syndrome of ophthalmoplegia, ataxia and areflexia is not a mere variant of it.
Descriptors		OPHTHALMOPLEGIA BLEPHAROPTOSIS CEREBELLAR ATAXIA BRAIN POLYRADICULONEURITIS DIAGNOSIS, DIFFERENTIAL