title: Unilateral internuclear ophthalmoplegia as an isolated presentation of metastatic melanoma.
abstract: Multiple sclerosis in younger patients and brainstem infarction in the elderly are the most common causes of internuclear ophthalmoplegia (INO). We report unilateral INO as the isolated clinical manifestation of a large, solitary, metastatic melanoma in the pons. Brain metastasis can present as INO.
authors.affiliation: Division of Neurology, and Department of Ophthalmology and Vision Sciences (SK, SS, ANS), University Health Network, University of Toronto, Toronto, Ontario, Canada; and Division of Neuroradiology, Department of Medical Imaging (MS), University Health Network, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Sunil
authors.initials: S
authors.lastname: Kumar
authors.forename: Shefalee S
authors.initials: SS
authors.lastname: Kent
authors.forename: Arun N
authors.initials: AN
authors.lastname: Sundaram
authors.forename: Manas
authors.initials: M
authors.lastname: Sharma
mesh_terms: D001932:Brain Neoplasms / Q000150:complications*; D007839:Functional Laterality / Q000502:physiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008545:Melanoma / Q000150:complications*; D008875:Middle Aged; D015835:Ocular Motility Disorders / Q000150:complications* / Q000175:diagnosis*; D011149:Pons / Q000473:pathology / Q000601:surgery; D016634:Radiosurgery