Unilateral internuclear ophthalmoplegia and recovery with thiamine in Wernicke syndrome.
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.
Kumar
P D
PD
Department of Medicine, Huron Hospital/Cleveland Clinic Health System, Ohio 44112, USA. ponondileep@hotmail.com
Nartsupha
C
C
West
B C
BC
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
D013831:Thiamine