• J Emerg Med · Jan 2003

    Case Reports

    Bilateral internuclear ophthalmoplegia following minor head trauma.

    • William P Walsh, John W Hafner, and Jorge C Kattah.
    • Department of Emergency Medicine, University of Illinois College of Medicine at Peoria, OSF Saint Francis Medical Center, Peoria, Illinois 61637, USA.
    • J Emerg Med. 2003 Jan 1; 24 (1): 19-22.

    AbstractInternuclear ophthalmoplegia (INO) is characterized by pathognomonic findings on neurological examination. It results from a lesion in the medial longitudinal fasciculus (MLF) and is rarely caused by head trauma. The neuroanatomy of INO is complex and the mechanism by which trauma causes this syndrome is controversial. In the context of trauma, INO occurs frequently in association with other neurological findings and should prompt a thorough investigation and ICU admission. A case of an individual with acute post-traumatic INO is reported and discussed.Copyright 2003 Elsevier Science Inc.

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