 |
|
Posttraumatic Bilateral Internuclear Ophthalmoplegia With Exotropia
Arch Neurol. 2004;61:429.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
Isolated bilateral internuclear ophthalmoplegia caused by minor head trauma is rarely reported.1-2 We present a case of bilateral internuclear ophthalmoplegia, exotropia, and accommodation deficit from an isolated discrete pontine hemorrhage following closed head trauma.
A previously healthy 53-year-old man was struck by a slow-moving vehicle. He complained of diplopia and vertigo after waking up 8 hours later. There was no external evidence of trauma. Mild gait unsteadiness and bilateral internuclear ophthalmoplegia with exotropia were seen (Figure 1). The magnetic resonance image, obtained 8 days later, showed only a focal upper pontine hemorrhage (Figure 2). His eye movements and gait unsteadiness slowly improved over 3 months.
Figure appears in full text version.
|
|
|
|
Figure 1. Bilateral internuclear ophthalmoplegia with exotropia in primary position.
|
|
|
Figure appears in full text version.
|
|
|
|
Figure 2. T1-weighted (A) and gradient-echo (B) magnetic resonance images showing a discrete subacute hemorrhage extending ventrally from the floor to fourth ventricle at the upper pontine level.
|
|
|
Small perforating vessels . . . [Full Text of this Article]
Dae Soo Jung, MD;
Kyung-Pil Park, MD
Department of Neurology
Pusan National University Hospital
1-ga-10, Ami-dong, Seo-ku
Pusan, Korea
|
