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Dorsal Midbrain Syndrome: A Teenager with Diplopia, Headache, and Vomiting

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Fundamentals of Pediatric Neuro-Ophthalmology

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Abstract

A 17-year-old man presented to the ophthalmology service with acute onset diplopia, headache, and intractable vomiting. He was previously in good health with only minor headaches until his presentation.

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Authors and Affiliations

  1. Department of Ophthalmology, Boston Children’s Hospital, Harvard Medical School, Boston, MA, USA

    Saprina Truong & Gena Heidary

Authors
  1. Saprina Truong
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  2. Gena Heidary
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Corresponding author

Correspondence to Gena Heidary .

Editor information

Editors and Affiliations

  1. Department of Ophthalmology, Boston Children’s Hospital, Harvard Medical School, Boston, MA, USA

    Gena Heidary

  2. Department of Ophthalmology, Arkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, AR, USA

    Paul H. Phillips

Electronic Supplementary Material

Video of eye movements. At baseline, there is an exotropia and bilateral eyelid retraction. There is limitation of upgaze. On attempted upgaze, convergence retraction nystagmus is noted (MOV 65605 kb)

Video of pupillary responses. There is a light-near dissociation such that the pupils do not have a substantial response to a light stimulus but with a near target, pupillary constriction is noted (MOV 59937 kb)

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© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

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Truong, S., Heidary, G. (2023). Dorsal Midbrain Syndrome: A Teenager with Diplopia, Headache, and Vomiting. In: Heidary, G., Phillips, P.H. (eds) Fundamentals of Pediatric Neuro-Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-031-16147-6_42

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  • DOI: https://doi.org/10.1007/978-3-031-16147-6_42

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-16146-9

  • Online ISBN: 978-3-031-16147-6

  • eBook Packages: MedicineMedicine (R0)

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