Parinaud's Syndrome Also known as dorsal midbrain syndrome, this is a distinct supranuclear vertical gaze disorder from damage to the posterior commissure. It is a classic sign of hydrocephalus from aqueductal stenosis. Pineal region tumors, cysticercosis, and stroke also cause Parinaud's syndrome. Features include loss of upgaze (and sometimes downgaze), convergence-retraction nystagmus on attempted upgaze, downwards ocular deviation ("setting sun" sign), lid retraction (Collier's sign), skew deviation, pseudoabducens palsy, and light-near dissociation of the pupils.
Nurse educators always have a dual role—they are both nurses and educators. As nurses
they often have a specialty, such as psychiatric nursing or nephrology nursing, and they
need to keep up with developments in that specialty, both in terms of the literature and
the practice. When such nurses become educators, they also have to master the field of
education, and keep up with what is new in the field of education, both in terms of theory
When we began working in pediatric neurosurgery as advanced practice
nurses, we searched for a reference that would explain the different neurosurgical
conditions affecting our patients and teach us how to care for
them. There was nothing to be found. We asked our colleagues for a reference
and they, too, had found none. “Someone should write a book about
how to care for pediatric neurosurgery patients,” we all said each time we
met at the AANS pediatric neurosurgery section meeting.
Finally, it dawned on us. We were the someone.