title: Unilateral internuclear ophthalmoplegia and recovery with thiamine in Wernicke syndrome.
abstract: Internuclear ophthalmoplegia is usually caused by multiple sclerosis, tumors, or vascular lesions of the brain stem. We report a patient with Wernicke syndrome who presented with a right-sided internuclear ophthalmoplegia. He recovered completely with intravenous thiamine (vitamin B1). There were no lesions in the magnetic resonance image (MRI) of the brain, suggesting a derangement at the cellular level as the cause.
authors.affiliation: Department of Medicine, Huron Hospital/Cleveland Clinic Health System, Ohio 44112, USA. ponondileep@hotmail.com
authors.forename: P D
authors.initials: PD
authors.lastname: Kumar
authors.forename: C
authors.initials: C
authors.lastname: Nartsupha
authors.forename: B C
authors.initials: BC
authors.lastname: West
mesh_terms: D006801:Humans; D007262:Infusions, Intravenous; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D013831:Thiamine / Q000008:administration & dosage / Q000627:therapeutic use*; D016896:Treatment Outcome; D014899:Wernicke Encephalopathy / Q000150:complications* / Q000175:diagnosis
chemical_list: D013831:Thiamine