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Bilateral Medial Medullary Infarction with Oculomotor Disorders Stroke 23:1657-1659, Toyoda,K.,et al, 1992 See this aricle in Pubmed Article Abstract A 71-year-old man initially presented with pure motor hemiparesis,which progressed to complete quadriplegia.He also developed nearly complete vertical and horizontal ophthalmoplegia.Magnetic resonance imaging revealed upper medial medullary infarctions bilaterally that extended to the pontomedullary junction.We propose that the vertical oculomotor disorders resulted from involvement of the oculomotor system in the caudal brain stem,especially the caudal paramedian pontine reticular formations on both sides.

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