The anterior cerebellar vermis has been known to act in coordination of gait and postural adjustment of the trunk and legs. However, oculomotor abnormalities in an isolated anterior vermian lesion have not been described in the literature. A 59-year-old man presented with acute non-rotatory dizziness and disequilibrium. Neuro-ophthalmologic examination found impaired smooth pursuit and hypometric saccades in the contralesional direction, and disconjugate ipsiversive ocular torsion, but without spontaneous or gaze-evoked nystagmus. Imaging study showed an infarction restricted to the rostral end of right cerebellar vermis involving the lingual and central lobules. The anterior cerebellar vermis participates in the maintenance of axial posture and gait, and also in the control of ocular motor and vestibular systems.
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Background and Objectives: Ocular torsion may be a result of vestibulopathy. The funduscopy is the most reliable method of measuring an ocular torsion. However, the reference value of ocular torsion in Korean is available at only limited ages. Therefore, we analyzed the angle of ocular torsion more age-specific than previous study.
Materials and Methods: We used the fundus photograph of health check-up visitor. And age and sex specific average angle of ocular torsion was measured.
Results: The right and left average angle of ocular torsion were 7.7±3.6°, 5.3±3.0°, respectively. In addition, there was no significant difference in age or sex specific angle of ocular torsion.
Conclusion: This result might give an aid to evaluating the function of otolithic organ by measurement of ocular torsion.