Bilateral internuclear ophthalmoplegia in a patient with Wernicke's encephalopathy.
The most common cause of bilateral internuclear ophthalmoplegia is multiple sclerosis. Wernicke's encephalopathy has been reported as a cause of unilateral internuclear ophthalmoplegia but not of bilateral internuclear ophthalmoplegia. In this report, we present the case of a patient with a history of alcohol abuse and acute onset of bilateral internuclear ophthalmoplegia whose clinical course and diagnostic studies are most consistent with a diagnosis of Wernicke's encephalopathy.
De La Paz
M A
MA
Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Boston.
Chung
S M
SM
McCrary
J A
JA
D000328:Adult; D004172:Diplopia / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009886:Ophthalmoplegia / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D014899:Wernicke Encephalopathy / Q000150:complications* / Q000175:diagnosis / Q000628:therapy