1991 Volume 1991 Issue Supplement48 Pages 186-190
A 39 year-old female with systemic lupus erythematodes (SLE) has been under medical care. Her complaints were right facial palsy and floating sensation. She developed the right gaze palsy and the right monoocular paresis to left gaze. Left monoocular nystagmus was observed but horizontal gaze and convergence were normal. Brain CT scan revealed that neither hemorrhage nor infarction was proved. Damage of the right medial longitudinale fasciculus and parapontaine was suspected. Reticular formation were possibly responsible by abnormal eye movements, so-called one and a half syndrome.