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Sustained Downgaze as the only remained sign after regaining consciousness in hepatic encephalopathy
Neurol Asia 19:105-106, Park, D.G.,et al, 2014
See this aricle in Pubmed

Article Abstract
Sustained downgaze mostly occurs in association with lesions affecting the dorsal midbrain. We report sustained downgaze in a patient with hepatic encephalopathy. The sustained downgaze existed for seven more days after she regained her consciousness. The persistent downgaze even after regaining full consciousness indicates localized pretectal dysfunction rather than diffuse encephalopathy as the mechanism of sustained downgaze in our patient. The ocular motor dysfunction in hepatic encephalopathy may be due to localized dysfunction of the brainstem.
 
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brainstem,dysfunction
brainstem,dysfunction,eye movement disorders with
conjugate gaze,forced
downward deviation of eyes
downward gaze
encephalopathy,metabolic
gaze deviation
globus pallidus,lesion of,bilateral
hepatic encephalopathy
hepatic encephalopathy, acute
MRI,abnormal
ocular motility,disorders of

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