Exploratory eye movements were recorded using an eye-mark recorder in 48 normal subjects (24 male and 24 female). Gender differences were examined regarding four eye movement parameters such as the mean gazing time, the total number of gazing points, and the mean eye scanning length and the total eye scanning length. The mean gazing time of women was significantly longer than that of men, and the total number of gazing points of women was significantly less than that of men. The mean eye-scanning length of men and women did not differ. The total eye scanning length of men was significantly longer than that of women. Reproducibility between sessions of the four eye movement parameters above was expressed as Pearson correlation coefficients (r) in 24 healthy adults before and after a month interval, yielding respective coefficients of 0.65, 0.42, 0.56 and 0.61. These results suggested that differences in exploratory eye movements between men and women may reflect differences in the characteristics of visual information processing and also confirmed the reproducibility of exploratory eye movement parameters.

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Patient: Male, 44-year-old Final Diagnosis: Central pontine myelinolysis Symptoms: Bulbar paralysis • locked-in syndrome • tetraplegia Medication: — Clinical Procedure: Brain MRI Specialty: Neurology • Rehabilitation Objective: Unusual clinical course Background: Central pontine myelinolysis (CPM) includes symmetric demyelination of the central pons. CPM is a rare neurological disorder that generally develops after rapid correction of hyponatremia in individuals having underlying conditions, such as malnutrition, alcoholism, and severe burns. It can cause severe long-term disabilities. However, there is currently no pharmacotherapy capable of promoting remyelination, a process crucial for recovery from CPM. We present the case of a patient with alcoholism and malnutrition-related CPM, which developed following rapid correction of hyponatremia but then improved remarkably with supportive physical therapy. Case Report: A 44-year-old alcoholic and malnourished man was admitted to an emergency hospital for disorientation due to overdrinking, but later developed bulbar palsy after hyponatremia was unexpectedly, but rapidly, corrected. Axial scans of the diffusion-weighted brain MRI revealed a characteristic lesion known as a piglet sign in the central pons. Based on his underlying conditions, present episode of sodium correction, and MRI finding, the patient was diagnosed as having CPM, which progressively worsened, resulting in locked-in syndrome after 12 days. The patient was then transferred to a long-term care unit and received simple motion exercise daily, but no specific medication. His symptoms gradually improved, achieving discontinuation of tube feeding on day 21, independent walking on day 110, and discharge after 6 months. Conclusions: This report highlights the importance of physical therapy, the potential of which is often underestimated despite its broad benefits for human health, as a readily applicable intervention for patients with CPM. Further understanding of mechanisms underlying exercise-induced myelination should contribute to establishing novel therapies for a wide spectrum of brain disorders.

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