Bilateral internuclear ophthalmoplegia following minor head trauma.
Internuclear ophthalmoplegia (INO) is characterized by pathognomonic findings on neurological examination. It results from a lesion in the medial longitudinal fasciculus (MLF) and is rarely caused by head trauma. The neuroanatomy of INO is complex and the mechanism by which trauma causes this syndrome is controversial. In the context of trauma, INO occurs frequently in association with other neurological findings and should prompt a thorough investigation and ICU admission. A case of an individual with acute post-traumatic INO is reported and discussed.
Walsh
William P
WP
Department of Emergency Medicine, University of Illinois College of Medicine at Peoria, OSF Saint Francis Medical Center, Peoria, Illinois 61637, USA.
Hafner
John W
JW
Kattah
Jorge C
JC
D000328:Adult; D006259:Craniocerebral Trauma / Q000150:complications* / Q000175:diagnosis*; D004636:Emergency Service, Hospital; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D008279:Magnetic Resonance Imaging; D008297:Male; D009460:Neurologic Examination; D015835:Ocular Motility Disorders / Q000175:diagnosis / Q000209:etiology; D009886:Ophthalmoplegia / Q000175:diagnosis* / Q000209:etiology*; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed