These movements most usually involve one-half of the body hemiballismus, although they may sometimes involve a single extremity monoballismus or both halves of the body paraballismus. It is most commonly associated with lesions of the contralateral subthalamic nucleus. It indicates a lesion causing rectus abdominis muscle weakness below the umbilicus. On the motions of the eye, in illustration of the use of the muscles and nerves of the orbit. The intorsion of the unaffected eye brought about by the head tilt compensates for the double vision caused by the unopposed extorsion of the affected eye. This test may also be used as part of the assessment of vertical diplopia to see whether hypertropia changes with head tilt to left or right; increased hypertropia on left head tilt suggests a weak intortor of the left eye superior rectus ; increased hypertropia on right head tilt suggests a weak intortor of the right eye superior oblique. Cross References Diplopia; Hypertropia; Skew deviation Binasal Hemianopia Of the hemianopic defects, binasal hemianopia, suggesting lateral compres sion of the chiasm, is less common than bitemporal hemianopia.
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