Bilateral Vertical Gaze Paralysis With Collier’s Sign and Contralesional Pseudo-Abducens Paresis From Unilateral Dorsomedial Thalamic Stroke

Isolated bilateral vertical gaze palsy is an unusual presentation in acute settings. It is usually accompanied by subtle signs that can lead to precise anatomic localization. This case is notable for the rare co-occurrence of bilateral vertical gaze palsy, Collier's sign, and contralesional pseudo-abducens paresis with a unilateral dorsomedial thalamic infarct, highlighting the complexity of vertical gaze and convergence pathways.

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Publication Details

Journal
The Neurohospitalist
Published
2025-10-22
DOI
https://doi.org/10.1177/19418744251392634
Primary Topic
Ophthalmology and Eye Disorders
Type
article
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article

Bilateral Vertical Gaze Paralysis With Collier’s Sign and Contralesional Pseudo-Abducens Paresis From Unilateral Dorsomedial Thalamic Stroke

Balaji Krishnaiah, Fatima Javed, Maria Daniela Orellana Zambrano, Yaimara Hernández Silva et al.
The Neurohospitalist
Ophthalmology and Eye Disorders
article

Bilateral Vertical Gaze Paralysis With Collier’s Sign and Contralesional Pseudo-Abducens Paresis From Unilateral Dorsomedial Thalamic Stroke

Balaji Krishnaiah, Fatima Javed, Maria Daniela Orellana Zambrano, Yaimara Hernández Silva, Ibrahim Lafi
article en

Abstract

Isolated bilateral vertical gaze palsy is an unusual presentation in acute settings. It is usually accompanied by subtle signs that can lead to precise anatomic localization. This case is notable for the rare co-occurrence of bilateral vertical gaze palsy, Collier's sign, and contralesional pseudo-abducens paresis with a unilateral dorsomedial thalamic infarct, highlighting the complexity of vertical gaze and convergence pathways.

The NeurohospitalistVol. 16(2)
University of Tennessee Health Science Center (US)
Openalex Percentile: Top 58%
Ophthalmology and Eye Disorders
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