A variant of WEBINO syndrome after top of the basilar artery stroke.
Wall-eyed bilateral internuclear ophthalmoplegia (WEBINO) is an uncommon neuro-ophthalmologic syndrome consisting of both eyes primary position exotropia and bilateral internuclear ophthalmoplegia. It is thought to be caused by medial midbrain lesions involving both bilateral medial longitudinal fasciculi and medial rectus subnuclei. We report the clinical and neuroimaging findings of a WEBINO syndrome associated to bilateral ptosis, non-reactive mydriasis and complete vertical gaze palsy in a 55-year-old man who suffered a top of the basilar artery stroke causing tegmental midbrain infarction.
Sierra-Hidalgo
Fernando
F
Department of Neurology, Hospital Universitario 12 de Octubre, Madrid, Spain. fsierra.hdoc@salud.madrid.org
Moreno-Ramos
Teresa
T
Villarejo
Alberto
A
Martín-Gil
Leticia
L
de Pablo-Fernández
Eduardo
E
Correas-Callero
Elisa
E
Ramos
Ana
A
Benito-León
Julián
J
D001488:Basilar Artery / Q000473:pathology; D001763:Blepharoptosis / Q000209:etiology / Q000473:pathology; D001921:Brain / Q000473:pathology; D001933:Brain Stem / Q000473:pathology; D002533:Cerebral Angiography; D002544:Cerebral Infarction / Q000209:etiology / Q000473:pathology; D005133:Eye Movements; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D015878:Mydriasis / Q000209:etiology / Q000473:pathology; D009460:Neurologic Examination; D015835:Ocular Motility Disorders / Q000209:etiology* / Q000473:pathology; D009886:Ophthalmoplegia / Q000209:etiology / Q000473:pathology; D020127:Recovery of Function; D020521:Stroke / Q000150:complications* / Q000473:pathology; D014057:Tomography, X-Ray Computed; D014711:Vertebral Artery / Q000473:pathology