Wall-Eyed Monocular Internuclear Ophthalmoplegia (WEMINO) with Contraversive Ocular Tilt Reaction.
Wall-eyed monocular internuclear ophthalmoplegia (WEMINO) with contraversive ocular tilt reaction has not been previously reported. A 71-year-old woman suddenly developed blurred vision. Examination revealed left internuclear ophthalmoplegia, left exotropia, right hypotropia, and rightward head tilt. Magnetic resonance imaging showed a tiny infarction at the area of the left medial longitudinal fasciculus in the upper pons. WEMINO with contraversive ocular tilt reaction may be caused by a paramedian pontine tegmental infarction that selectively involves the medial longitudinal fasciculus.
Jeon
Sang Beom
SB
Department of Neurology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Chung
Sun J
SJ
Ahn
Hyosook
H
Lee
Jae-Hong
JH
Jung
Jin Man
JM
Lee
Myoung C
MC
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