兄弟に現われた脳卒中後の Bruns 様眼振

概要

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Postapoplectic development of unilateral facial nerve palsy and paralysis of the contralateral upper and lower extremities were observed in two, 47 years old and 50 years-old brothers.Angiographically, the diagnosis of thrombus formation in either posterior inferior or anterior inferior cerebellar artery was established.Otologically examined, both of them were noted to have Brunss nystagmus, the larger nystagmus of which was directed to the side of facial nerve palsy.It is interesting that Brunss nystagmus, which had been generally considered to be characteristic. to cerebellopontine angle tumor, occured following an attack of cerebellar apoplexy.We have recommended postural nystagmus test for the purpose of early discovery and differential diagnosis of circulatory disturbances in brain.The importance of Brunss nystagmus is to be emphasized for the same purpose.
社団法人日本耳鼻咽喉科学会の論文