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January 14, 2003; 60 (1) Brief Communications

CT assessment of conjugate eye deviation in acute stroke

J.E. Simon, S.C. Morgan, J.H.W. Pexman, M.D. Hill, A.M. Buchan
First published January 14, 2003, DOI: https://doi.org/10.1212/01.WNL.0000042086.98735.75
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Abstract

Conjugate eye deviation seen on clinical examination helps to localize pathology in acute ischemic stroke. Eye deviation can also be assessed on a CT head scan. The authors found that CT eye deviation reliably lateralizes to the ischemic hemisphere (positive predictive value 93%) without reference to clinical examination. In an era of thrombolysis and rapid decision making in acute ischemic stroke, eye deviation on CT can help quickly direct attention to the affected hemisphere.

  • Received July 30, 2002.
  • Accepted September 19, 2002.
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Letters: Rapid online correspondence

  • Reply to Letter to the Editor
    • JE Simon, Foothills Hospital, Calgary Stroke Program 1403-29th Street NW Room 1162 Calgary Alberta T2N 2T9 Canada
    • SC Morgan, JHW Pexman and AM Buchan
    Submitted August 01, 2003
  • CT assessment of conjugate eye deviation in acute stroke
    • Silvia Di Legge, Department of Clinical Neurological Sciences LHSC, Windermere Road London, Ontario N6A 5A5 Canada
    • Vadim Beletsky, Vivek Jain, and Vladimir Hachinski
    Submitted August 01, 2003
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