Conjugate Eye Deviation in Acute Stroke

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Abstract
Background and Purpose— The authors studied clinical features and lesion patterns associated with conjugate eye deviation (CED) in acute stroke. Methods— Consecutive patients with supratentorial stroke ( Results— Partial CED was found in 7 (6%) and forced CED in 31 (26.7%) of 116 patients. Forced and partial CED were associated with higher initial NIHSS scores compared with patients without CED (16 and 10 versus 5; P P P Conclusions— Selective dysfunction of cortical areas involved in spatial attention and control of eye movements is sufficient to cause CED in patients with acute stroke. However, in the majority of cases, CED is an indicator of large infarcts involving more than one area, including both cortical and subcortical structures.