Burgueño-Montañés C, Santalla-Castro C, Peña-Suárez J. Parinaud «plus» syndrome in a patient with dysgerminoma.
ACTA ACUST UNITED AC 2016;
91:341-5. [PMID:
26900044 DOI:
10.1016/j.oftal.2016.01.003]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2015] [Revised: 01/05/2016] [Accepted: 01/11/2016] [Indexed: 11/30/2022]
Abstract
CLINICAL CASE
A 33-year-old male diagnosed with Parinaud's syndrome, exotropia and post-papillary oedema optic atrophy in his left eye. A pineal germinoma was diagnosed after performing neuroimaging scans and a stereotactic biopsy. He was treated with chemotherapy and radiotherapy, showing a complete pathological response. The Parinaud's syndrome persists one year after diagnosis and the patient has refused to have strabismus surgery.
DISCUSSION
Parinaud's syndrome consists of a supranuclear vertical gaze palsy resulting from damage to the midbrain tectum. The involvement of adjacent structures leads to the «Parinaud-plus» syndrome. When a Parinaud's syndrome is accompanied by diplopia («Parinaud-plus» syndrome), extension of the injury into adjacent areas must be considered.
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