Abstract
Five patients in deep coma due to extensive supratentorial lesions presented roving lateral eye movements (ping-pong gaze), distinguished by the fact that the eyes, after moving to one extreme of gaze, returned to the midline instead of to the opposite extreme. The phenomenon was reported recently by Reynard et al.
Sommario
Gli autori descrivono l'osservazione di movimenti oculari laterali tipo “vagante” (roving movements; ping-pong gaze) eseguita su 5 pazienti in coma profondo.
È particolare il fatto che tali movimenti, iniziando da un estremo laterale si arrestano alla linea mediana in luogo di raggiungere il canto controlaterale.
Tale fenomeno ha solo una precedente segnalazione (Reynard et al).
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Brusa A., Massa S., Piccardo A., Stoehr R., Bronzini E.:Le Nystagmus palpébral. Observaion anatomo-clinique. Rev. Neurol. (Paris) 140, 288–292, 1984
Brusa A.,Firpo M.P.,Massa S.,Piccardo A.,Bronzini E.:Typical and reverse bobbing. A case with localizing value. Europ. Neurol. (in press).
Collard M.,Conraux Cl.,Warter J.M.:Les syndromes vestibulaires centraux. Rapport de Neurologic Congrès de Psychiatrie et de Neurologie de langue francaise LXXI Session Monaco, 2–7 juillet 65–80, 1973.
Cramon D., Zihl J.:Das Phänomen der periodisch alternierenden Bulbusdeviation. Arch. Psychiat. Nervenkr. 224, 247–257, 1977.
Cramon D., Zihl J.:Roving eye movements with bilateral symmetrical lesions of the thalamus. J. Neurol. 221, 105–112, 1979.
Fisher C.M.:Some neuro-ophthalmological observations. J. Neurol. Neurosurg. Psychiatry. 30, 383–392, 1967.
Fisher C.M.:The neurological examination of the comatose patient. Acta Neurol. Scand. Suppl. 36, Vol. 45, 1969.
Lapresle J., Said G.:Déviation forcée des yeux vers le bas et en dedans et mouvements oculaires périodiques au cours d'une hémorragie anévrysmale de la calotte mésencéphalique. Rev. Neurol. (Paris) 133, 497–503, 1977.
Leigh R.J., Zee D.S.:The neurology of eye movements. Philadelphia, F.A. Davis Company pp. 240–242, 1983.
Kestenbaum A.:Clinical methods of neuro-ophthalmologic examination. 2° Ed. New York-London, Grune & Stratton p. 383, 1961.
Plum F., Posner J.B.:The diagnosis of stupor and coma. 3rd Ed. Philadelphia, F.A. Davis Company, pp. 57–58, 1980.
Reynard M., Wertenbaker C., Behrens M., Lesser R., Eggers H., Ilson J., Mitchell J., Bever C.:“Ping-pong gaze” amplified. Neurology (Minneap), 29, 757–758, 1979.
Ropper A. H.:Ocular dipping in anoxic coma. Arch Neurol. 38, 297–299, 1981.
Senelick R.C.:Ping pong gaze. Neurology (Minneap.). 26, 532–535, 1976.
Stewart J.D., Kirkham T.H., Mathieson G.:Periodic alternating gaze. Neurology (Minneap.), 29, 222–224, 1979.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Brusa, A., Firpo, M.P., Piccardo, A. et al. Roving lateral eye movements in coma. A clinical-pathological study. Ital J Neuro Sci 5, 279–284 (1984). https://doi.org/10.1007/BF02043958
Issue Date:
DOI: https://doi.org/10.1007/BF02043958