Abstract

 

A sixty one-year-old man who was perhaps the first case of reverse Fisher's syndrome due to posterior cerebral artery occlusion is presented. The patient experienced conjugate gaze disorders in which that the preserved eye movement was adduction in the contralateral eye, as opposed to the abduction described in the Fisher‘s original report. There was total paralysis in the ipsilateral eye. In this case, abduction in the contralateral eye was due to lesion of the left fronto-pontine pathway from frontal eye field. An infarct due to left posterior cerebral artery occlusion may produce a reverse Fisher's syndrome in which that the preserved eye movement is adduction. [Journal of Turgut Özal Medical Center 1997;4(1):93-95]

Key Words: Fisher's syndrome, conjugate gaze disorders, posterior cerebral artery occlusion