Share this article on:

Selective Saccadic Palsy After Cardiac Surgery

Kim, Eui-Jung MD; Oh, Sun-Young MD; Choi, Ha-Cheol MD; Shin, Byoung-Soo MD; Seo, Man-Wook MD; Choi, Jong-Bum MD

Journal of Neuro-Ophthalmology: September 2010 - Volume 30 - Issue 3 - p 268-271
doi: 10.1097/WNO.0b013e3181e08b20
Clinical Observations

We report a patient who showed a selective deficit of voluntary saccades and quick phases of nystagmus after cardiac surgery. Voluntary saccades in the horizontal plane were very slow, while vertical saccades, vestibular and optokinetic nystagmus, were absent. However, smooth pursuit, the vestibulo-ocular reflex, and the ability to hold steady eccentric gaze were preserved.

Supplemental Digital Content is available in the text

Departments of Neurology (E-JK, S-YO, H-CC, B-SS, M-WS) and Chest Surgery (J-BC), School of Medicine, Chonbuk National University, Jeonju, South Korea.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (

Address correspondence to Sun-Young Oh, MD, PhD, Department of Neurology, Chonbuk National University Hospital, Gumam-dong, Jeonju, South Korea; E-mail:

© 2010 Lippincott Williams & Wilkins, Inc.