PMC10368092_01
Left OTR and skew deviation with right-eye hypertropia and the left-eye abducted and down on primary gaze straight ahead.
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F1
There was a head tilt toward the left (shown in Fig. 1). Skew deviation with right-eye hypertropia and the left-eye abducted and down was noted on primary gaze straight ahead (Fig. 1) with rotatory nystagmus toward the left (clockwise torsion of both eyes).
Brain MRI. a Coronal T2-weighted image. b Diffusion-weighted image demonstrating the right periventricular mesodiencephalic infarct.
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F2
Brain MRI, as seen on T2WI, FLAIR, and DWI, revealed a small paramedian infarct in the right side of the thalamus and rostral midbrain (shown in Fig. 2).