Bilateral Internuclear Ophthalmoplegia As a First Presenting Sign of Multiple Sclerosis

Number: 3 September 1, 2020
  • Murat Alemdar
  • Gökhan Koz
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Acıbadem Üniversitesi Sağlık Bilimleri Dergisi
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Bilateral Internuclear Ophthalmoplegia As a First Presenting Sign of Multiple Sclerosis

Abstract

Internuclear ophthalmoplegia is a disorder of conjugate horizontal gaze in which the affected eye shows impairment of adduction and contralateral eye abducts with nystagmus. Internuclear ophthalmoplegia is caused by disruption of the medial longitudinal fasciculus which connects the nucleus of sixth cranial nerve on one side of the pons to the medial rectus subnucleus of the third cranial nerve in the contralateral midbrain. Bilateral internuclear ophthalmoplegia due to brainstem lesions is rarely seen in clinical practice. Herein, we present a 40-year-old female who was diagnosed with multiple sclerosis after she experienced her first attack with diplopia due to bilateral internuclear ophthalmoplegia. The clinical history of the presented case revealed clearly that multiple sclerosis should be highly suspected in patients admitted to emergency rooms with diplopia, particularly in cases presenting with bilateral internuclear ophthalmoplegia. The patients with internuclear ophthalmoplegia should be searched with brain and brainstem magnetic resonance imaging

Keywords

References

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Details

Primary Language

English

Subjects

-

Journal Section

-

Authors

Murat Alemdar

Gökhan Koz

Publication Date

September 1, 2020

Submission Date

-

Acceptance Date

-

Published in Issue

Year 2020 Number: 3

IZ

https://izlik.org/JA29KC36DN

Cite

RIS / Bibtex
EndNote
Alemdar M, Koz G (September 1, 2020) Bilateral Internuclear Ophthalmoplegia As a First Presenting Sign of Multiple Sclerosis. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 3 550–552.