Webino Syndrome Accompanied by Vertical Gaze Paralysis Related to Multiple Hemorrhagic Brainstem Foci Detected by SWI MRI
نویسندگان
چکیده
A 68-year-old male patient was diagnosed with the Wall-eyed bilateral internuclear ophthalmoplegia (WEBINO) syndrome accompanied by vertical gaze paralysis due to multiple hemorrhagic foci in the mesencephalon and pons as a result of hypertensive microangiopathy. The hemorrhagic foci could not be detected with standard MRI sequences, but were shown with the susceptibilityweighted imaging (SWI) sequence. Vertical gaze paralyses are not classic signs of the WEBINO syndrome but some cases with this sign have been reported. As far as we know, hypertensive microangiopathy-related hemorrhage has been identified in the etiology of the WEBINO syndrome for the very first time.
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