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A. J. S. Atwal, MD; B. H. Smith, MD; E. S. Dickenson, MD
Dept of Neurology Edward J. Meyer Memorial Hosp Buffalo, NY 14215

Arch Neurol. 1976;33(6):457.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Recently, we noted a disturbance of ocular motility simulating internuclear ophthalmoplegia during the early stage of the Guillain-Barré syndrome. A similar ocular picture of pseudo-internuclear ophthalmoplegia of peripheral origin has been reported in myasthenia gravis^1-3 and in one case of Fisher syndrome of ophthalmoplegia, ataxia, and areflexia.⁴

Report of a Case.—

A 23-year-old man had double vision of two days' duration. On the day of admission, the following symptoms developed: difficulty in retaining fluids in his mouth and in pursing his lips, numbness of mouth, impairment of taste appreciation, and "imbalance" on walking. Neurologically, there was slight difficulty in articulation, a negative Romberg test, and some impairment of heel-toe walking, which was difficult to assess in view of a short leg and pes cavus on the left. Cranial nerve functions were normal except for some paresis of the right lateral rectus, which was not improved on the edrophonium test . . . [Full Text PDF of this Article]

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