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Parinaud syndrome (dorsal midbrain syndrome)

Parinaud syndrome (dorsal midbrain syndrome)
The patient has (A) bilateral lid retraction, pupillary dilatation; (B) the inability to look upward. The pupils do not react to light but do constrict to near effort.
Reproduced with permission from: Tasman W, Jaeger E. The Wills Eye Hospital Atlas of Clinical Ophthalmology, 2nd ed, Lippincott Williams & Wilkins, 2001. Copyright © 2001 Lippincott Williams & Wilkins.
Graphic 58178 Version 2.0