Abstract
An increase of intracranial pressure (ICP) can result in a wide variety of neuroophthalmological and neuro-otological findings (Leigh and Zee 1991). One has to distinguish between signs due to the actual lesion causing the raised intracranial pressure, such as brainstem or pineal tumors, cerebellar infarcts or other structural lesions causing defects in the neuronal substrate of the vestibulo-oculomotor system and neuro-otological findings due to the raised intracranial pressure proper. Sometimes this distinction can be difficult. Common neuro-otological signs of increased ICP are ocular nerve palsies, downbeat nystagmus, the so-called pretectal syndrome, dysequilibrium, positional nystagmus, and, rarely, ocular flutter and opsoclonus.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Anderson NE, Budde-Steffen C, Rosenblum MK, Graus F, Ford D, Synek BJL, Posner JB (1988) Opsoclonus, myoclonus, ataxia, and encephalopathy in adults with cancer: A distinct paraneoplastic syndrome. Medicine 67: 100
Baloh RW, Furman JM, Yee RD (1985) Dorsal midbrain syndrome: Clinical and oculographic findings. Neurology 35: 54
Bogousslavsky J (1989) Syndromes oculomoteurs résultant de lésions mesencephaliques chez l’homme. Rev Neurol (Paris) 145: 546
Bryce-Smith R, Macintosh RR (1951) Sixth nerve palsy after lumbar puncture and spinal analgesia. Br Med J 1: 275
Chattha AS, Delong GR (1975) Sylvian aqueduct syndrome as a sign of acute obstructive hydrocephalus in children. J Neurol Neurosurg Psychiatry 38: 288
Collier J (1927) Nuclear ophthalmoplegia with especial reference to retraction of the lids and ptosis and to lesions of the posterior commissure. Brain 50: 488
Corbett JJ (1986) Neuro-ophthalmologic complications of hydrocephalus and shunting procedures. Semin Neurol 6: 111
Fisher CM (1969) The neurological examination of the comatose patient. Acta Neurol Scand 45 (Suppl. 36): 1
Frohman LP, Kupersmith MJ (1985) Reversible vertical ocular deviations associated with raised intracranial pressure. J Clin Neuro Ophthalmol 5: 158
Geissinger JD, Bucy PC (1971) Astrocytomas of the cerebellum in children. Long-term study. Arch Neurol 24: 125
Gregorius FK, Crandall PH, Baloh RW (1976) Positional vertigo in cerebellar astrocytomas: Report of two cases. Surgical Neurol 6: 283
Guy JR, Friedman WF, Mickle JP (1989) Bilateral trochlear nerve paresis in hydro-cephalus. J Clin Neuro Ophthalmol 9: 105
Keane JR (1976) Bilateral sixth nerve palsy. Analysis of 125 cases. Arch Neurol 33: 681
Keane JR (1990) The pretectal syndrome: 206 patients. Neurology 40: 684
Lavin PJM, Bahntge MF (1983) Downbeat nystagmus with supra-tentorial disease. Neuro-ophthalmology 3: 235
Leigh RJ, Zee DS (1991) The neurology of eye movements. 2, Ed. Contemporary Neurology Series. F.A. Davis Company, Philadelphia.
McCammon A, Kaufman HH, Sears ES (1981) Transient oculomotor paralysis in pseudo-tumor cerebri. Neurology 31: 182
Nylen CO (1939) The oto-neurological diagnosis of tumors of the brain. Acta Otolaryngol (Suppl 33): 81
Ochs AL, Stark L, Hoyt WF, D’Amico D (1979) Opposed adducting saccades in convergenceretraction nystagmus. A patient with sylvian aqueduct syndrome. Brain 102: 497
Osher RH, Corbett JJ, Schatz NJ, Savino PJ, Orr LS (1978) Neuro-ophthalmological complications of enlargement of the third ventricle. Br J Ophthalmol 62: 536
Phadke JG, Hern JEC, Blaiklock CT (1981) Downbeat nystagmus-A false localising sign due to communicating hydrocephalus. J Neurol Neurosurg Psychiatry 44: 459
Round R, Keane JR (1988) The minor symptoms of increased intracranial pressure: 101 patients with benign intracranial hypertension. Neurology 38: 1461
Rush JA, Younge BR (1981) Paralysis of cranial nerves III, IV, and VI. Course and prognosis in 1,000 cases. Arch Ophthalmol 99: 76
Shetty L, Rosman NP (1972) Opsoclonus in hydrocephalus. Arch Ophthalmol 88: 585
Slavin ML, Rosenberg ML (1985) Unusual associations of downbeat nystagmus. Neuro-ophthalmology 5: 265
Solomon GE, Chutorian AM (1968) Opsoclonus and occult neuroblastoma. N Engl J Med 279: 475
Swash M (1974) Periaqueductal dysfunction (the Sylvian aqueduct syndrome): A sign of hydrocephalus? J Neurol Neurosurg Psychiatry 37: 21
Tamura EE, Hoyt CS (1987) Oculomotor consequences of intraventricular hemorrhages in premature infants. Arch Ophthalmol 105: 533
Wolfson LI, Katzman R (1983) The neurologic consultation at age 80. In: Katzman R and Terry R (eds): The Neurology of Aging. FA Davis, Philadelphia
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1996 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Fetter, M. (1996). Neuro-otological findings in raised intracranial pressure. In: Ernst, A., Marchbanks, R., Samii, M. (eds) Intracranial and Intralabyrinthine Fluids. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-80163-1_27
Download citation
DOI: https://doi.org/10.1007/978-3-642-80163-1_27
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-80165-5
Online ISBN: 978-3-642-80163-1
eBook Packages: Springer Book Archive