| This was done by doing a measurement from the point in the extreme down gaze to the point in the extreme upgaze. |
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| Neurologically, gait ataxic disturbances, balance deficits, and supranuclear upgaze paresis were already present. |
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| They occurred monthly and lasted from 30 minutes to 24 hours and some reportedly associated upgaze deviation and severe global hypotonia. |
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| Neurologic examination revealed mild limitation of upgaze, mild paratonia in extremities and tandem gait difficulties. |
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| The inferior rectus muscle is most commonly involved, leading to vertical diplopia on upgaze. |
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| Her cranial nerves were notable for impaired upgaze, but otherwise intact EOMs with slow tracking but no abnormal saccades and no nystagmus. |
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| Gaze is almost never straight ahead but varies between downgaze, sidegaze, and upgaze. Correct fixation of an object does not take place. |
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| Postoperatively, these openings remain covered by the eyelids apart from during excessive upgaze and excessive lateral gaze, which postoperatively minimises visibility of the surgical procedure. |
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| Over the next several months thereafter, the patient reported development of diplopia on upgaze and rapid progression of proptosis, particularly in the left eye. |
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| Insufficient or no lens movement during a blink in primary or upgaze. |
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| The inferior rectus muscle is the most commonly affected, followed by the medial, superior then lateral rectus with ocular movements usually worst on upgaze. |
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