Horizontal gaze paresis in hemispheric stroke

Kelley, R.E.; Kovacs, A.G.

Stroke 17(5): 1030-1032


ISSN/ISBN: 0039-2499
PMID: 3764949
DOI: 10.1161/01.str.17.5.1030
Accession: 005585488

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Of 156 stroke patients prospectively and consecutively evaluated, one-third had a homonymous hemianopia. Of those 52 patients, 46% had a horizontal conjugate gaze paresis at the time of presentation. This gaze paresis was most commonly seen with large hemispheric stroke. The overall prognosis in patients with a gaze paresis was poor. The 30-day case fatality rate was 49% which was significantly higher than for stroke patients presenting with homonymous hemianopia without a gaze paresis.