title: [The WEBINO syndrome as presentation form of myasthenia gravis].
abstract: METHODS
  We report the case of a 37-year-old male that came to emergency with diplopia of sudden onset. Ocular examination revealed severe exotropia, deficiency of convergence and the typical sings of bilateral internuclear ophthalmoplegia (INO): absence of adduction and nistagmic abduction of both eyes. All the symptoms of this patient constitute the WEBINO (wall eyed bilateral ophthalmoplegia) syndrome.
  
  
  CONCLUSIONS
  The most common causes of bilateral INO (multiple sclerosis, vascular accidents, etc.) were discarded and a diagnosis of Myasthenia gravis was made on the basis of Tensilon test and electromiography. Treatment with piridostigmina achieved in two months the complete remission of the signs and symptoms. This is the first description of WEBINO syndrome due to Myasthenia gravis.
authors.affiliation: Servicio de Oftalmología, Hospital Universitario Príncipe de Asturias, Madrid, España.
authors.lastname: Fagúndez Vargas MA
authors.lastname: Andrés Domingo ML
authors.lastname: Calvo Arrabal MA
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D009157:Myasthenia Gravis / Q000150:complications* / Q000175:diagnosis; D015835:Ocular Motility Disorders / Q000209:etiology*; D013577:Syndrome