Patient's question:
My son has neonatal hemolytic disease, which has improved after treatment. During a CT scan, the doctor told me that my son's globus pallidus was high, saying it might affect his limbs. I would like to ask you what extent it can affect, how to detect it early, and what condition does downward eye rolling represent?Doctor's answer:
The "high putamen" you mentioned refers to the high signal in the putamen shown in the cranial magnetic resonance imaging results, suggesting a lesion in the putamen. The specific extent of the impact depends on the severity and nature of the lesion. If there are no other directional movement disorders of the eye, it could be considered as (sunrise phenomenon), which is a manifestation of intracranial hypertension such as hydrocephalus. If this is not the case, it would also be classified as a movement disorder of the extraocular muscles. The superior rectus muscle of the extraocular muscles is controlled by the third cranial nerve. Lesions in the related central nervous system nuclei, tracts, or cranial nerves can lead to an inability to move upward and inward, resulting in the phenomenon you described.