Bilateral internuclear ophthalmoplegia and clivus fracture following head injury: case report

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Bilateral internuclear ophthalmoplegia and clivus fracture following head injury: case report.

Internuclear ophthalmoplegia is a remarkable finding, particularly in patients victims of head injury. The medial longitudinal fasciculus, which is believed to be lesioned in cases of internuclear ophthalmoplegia, has an unique brain stem position and the mechanism involved in brain stem contusions implies a maximal intensity of shearing forces on the skull base. We describe a very rare associa...

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Bilateral internuclear ophthalmoplegia following head injury.

A 40-year-old female after a closed head injury presented with bilateral internuclear ophthalmoplegia. Attempted convergence was abnormal and MRI revealed the focal hemorrhage in the medial longitudinal fasciculus region by showing bright signal in the a pontomesencephalic region in the midline on both T1 and T2 weighted images. The patient regained normal ocular mobility after six months of th...

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Bilateral internuclear ophthalmoplegia following head trauma

A 35‐year‐old male presented to the emergency department (ED) after a traffic accident. The patient had a frontal scalp laceration, brief loss of consciousness with retrograde amnesia, headache, and dizziness. There was no evidence of ocular or periorbital trauma. Initially, brain computed tomography performed in the ED revealed no specific finding. After regaining full consciousness, the patie...

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Unilateral Internuclear Ophthalmoplegia after Minor Head Injury

Internuclear ophthalmoplegia is a rare condition caused by injury to the medial longitudinal fasciculus in the brainstem. It usually occurs in conditions such as stroke or multiple sclerosis and is extremely rare after head injury. We report a case of unilateral internuclear ophthalmoplegia, which occurred after a minor head injury in a young male. His only symptoms were headache and diplopia. ...

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Reversible bilateral internuclear ophthalmoplegia associated with FK506.

A 50 year old man developed tonic-clonic seizures while receiving cyclosporin A after orthotopic cardiac transplant. The seizures resolved after cessation of cyclosporin A. Thirteen months later, he developed diplopia from bilateral internuclear ophthalmoplegia while receiving intravenous FK506. A temporal association was found between his symptoms and the serum FK506 concentrations. Withdrawal...

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ژورنال

عنوان ژورنال: Arquivos de Neuro-Psiquiatria

سال: 2002

ISSN: 0004-282X

DOI: 10.1590/s0004-282x2002000400023