Gaze-Evoked Phenomena
Gaze-Evoked Phenomena
A variety of symptoms have been reported to be evoked, on occasion, by alteration of the direction of gaze:
- Amaurosis: lesion, usually intraorbital, compressing central retinal artery
- Laughter
- Nystagmus: usually indicative of cerebellar lesion; may occur as a side-effect of medications; also convergence-retraction nystagmus on upgaze in dorsal midbrain (Parinaud’s) syndrome
- Phosphenes: increased mechanosensitivity in demyelinated optic nerve
- Segmental constriction of the pupil (Czarnecki’s sign) following aberrant regeneration of the oculomotor (III) nerve to the iris sphincter
- Tinnitus: may develop after resection of cerebellopontine angle tumors, may be due to abnormal interaction between vestibular and cochlear nuclei
- Vertigo
Cross References
Leopold NA. Gaze-induced laughter. Journal of Neurology,Neurosurgery and Psychiatry 1977; 40: 815-817