Content area
Abstract
The neurological examination including eyes evaluation at the six-month follow-up was normal. 3 Discussion The Miller Fisher one-and-a-half syndrome [1] consists of an ipsilateral horizontal gaze palsy (one) due to a lesion in the horizontal gaze center in the paramedian pontine reticular formation (PPRF) or of the abducens nucleus, and an internuclear ophthalmoplegia (one-half) due to a lesion in the medial longitudinal fasciculus (MLF). Because of the particular impairment of the ipsilateral vertical gaze associated with eight-and-a-half syndrome, we know that the lesion is localized in the PPRF or in the nucleus of the abducens cranial nerve, as well as in the midbrain reticular formation (MRF), in the dorsal tegmentum of the pons, respective of the midbrain (Fig. 3).