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Here is a quick mnemonic “VERTICAL GAZE to remember about Supranuclear Disorders of Gaze

This can be valuable for patients as well as medical doctors, nurses & students doing their clinical rounds. You can also find it very useful for med exams like USMLE, MBBS, NEET PG, FMGE, NExT, MCAT & NCLEX exams

Supranuclear Disorders of Gaze : How To Remember Easily ?

  • V – Vertical gaze disorders are an early feature of progressive supranuclear palsy.
  • E – Eyes deviate conjugately away from the irritative focus during seizures.
  • R – Reversed by thiamine, Wernicke’s encephalopathy mimics combined abducens and oculomotor nerve palsy.
  • T – The frontal eye field generates saccades to the contralateral side.
  • I – Impaired eye-hand coordination, difficulty initiating voluntary eye movements, and visuospatial disorientation are characteristics of Bálint’s syndrome.
  • C – Causes of supranuclear gaze palsy include infarct, hemorrhage, tumor, multiple sclerosis, encephalitis, vasculitis, and Whipple’s disease.
  • A – Alcoholism, malnutrition, and bariatric surgery are risk factors for supranuclear gaze disorders.
  • L – Lesions in the parietal region disrupt smooth pursuit of targets moving toward the side of the lesion.
  • G – Gaze palsy can also be caused by Huntington’s disease and olivopontocerebellar degeneration.
  • A – After hemispheric stroke, the eyes deviate toward the lesioned side due to the unopposed action of the frontal eye field.
  • Z – Z-axis impairment, especially downward saccades, is a feature of progressive supranuclear palsy.
  • E – Eyes deviate away from the irritative focus during seizures.


Dr. Arin Nandi

Passionate About Medical Science & Helping Future Doctors Achieve Top Ranks In Medical Exams. He is professionally a dentist as well as a public health expert from JIPMER (1), (2)working in health department