title: [Internuclear ophthalmoplegia: initial and isolated clinical findings in bacterial endocarditis].
abstract: Unilateral internuclear ophthalmoplegia become manifest by homolateral paralysis of ocular adduction and contralateral nystagmus. Principal causes are multiple sclerosis and vertebro-basilar insufficiency. We report a case in which this signal appeared as the first clinical manifestation of bacterial endocarditis and turned up to be the only neurological finding.
authors.affiliation: Serviço de Neurologia, Hospital dos Servidores do Estado do Rio de Janeiro, Brasil.
authors.forename: A L
authors.initials: AL
authors.lastname: Werneck
authors.forename: A J
authors.initials: AJ
authors.lastname: Gonçalves
authors.forename: J M
authors.initials: JM
authors.lastname: Bezerra
mesh_terms: D000328:Adult; D004697:Endocarditis, Bacterial / Q000150:complications*; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000209:etiology; D008297:Male; D009886:Ophthalmoplegia / Q000209:etiology*
vernacular_title: Oftalmoplegia internuclear: achado clínico inicial e único em endocardite bacteriana.