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Vertical gaze palsy

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A vertical gaze palsy is the loss of upward gaze.

This is discriminated from a third, fourth or sixth cranial nerve palsy because:

  • both eyes are affected
  • pupils are fixed but often unequal
  • generally no diplopia
  • generally the preservation of reflex eye movements, e.g. on flexion and extension of the neck

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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