Unilateral Internuclear Ophthalmoplegia after Minor Head Injur

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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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Minor head trauma and isolated unilateral internuclear ophthalmoplegia.

Internuclear ophthalmoplegia is a syndrome that develops due to a lesion of the medial longitudinal fasciculus. This lesion is mostly caused by multiple sclerosis (usually bilaterally), and only rarely by head injury. A case is presented of unilateral internuclear ophthalmoplegia as an isolated sequel of minor head trauma, which eventually resolved. A 40-year-old woman with isolated internuclea...

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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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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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Periprocedural stroke presenting as isolated unilateral internuclear ophthalmoplegia.

A 55-year-old gentleman underwent a percutaneous cardiac intervention (PCI) for an acute myocardial infarction. Towards the end of procedure, he developed acute vertigo. Neurological examination showed an isolated right internuclear ophthalmoplegia (INO). An urgent computed tomographic angiography of the brain was performed, which showed normal vertebrobasilar vessels. Magnetic resonance imagin...

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ژورنال

عنوان ژورنال: Western Journal of Emergency Medicine

سال: 2012

ISSN: 1936-900X,1936-9018

DOI: 10.5811/westjem.2011.8.6595