Conjugate gaze palsy

Conjugate gaze palsy is a neurological condition characterized by the inability to move both eyes in the same direction. It is often associated with lesions or damage to certain areas of the brain, including the brainstem, cranial nerves, and cerebral cortex.

Causes

Conjugate gaze palsy can be caused by a variety of conditions, including stroke, brain tumor, multiple sclerosis, and Guillain-Barré syndrome. It can also be a symptom of certain genetic disorders, such as Moebius syndrome and Duane syndrome.

Symptoms

The primary symptom of conjugate gaze palsy is the inability to move both eyes in the same direction. This can result in diplopia (double vision), strabismus (crossed eyes), and difficulties with balance and coordination. In severe cases, it can lead to complete paralysis of eye movements.

Diagnosis

Diagnosis of conjugate gaze palsy typically involves a thorough neurological examination, including tests of eye movements and coordination. Imaging tests, such as MRI or CT scan, may also be used to identify any underlying brain lesions or damage.

Treatment

Treatment for conjugate gaze palsy typically involves addressing the underlying cause of the condition. This may involve medication, surgery, or other treatments, depending on the specific cause. In some cases, physical therapy or occupational therapy may be used to help improve eye coordination and reduce symptoms.

Prognosis

The prognosis for individuals with conjugate gaze palsy varies widely, depending on the underlying cause of the condition. In some cases, symptoms may improve with treatment, while in others, the condition may be progressive and lead to increasing disability.

See also

• Ophthalmoplegia
• Internuclear ophthalmoplegia
• Parinaud's syndrome