Bilateral INOs Due to Stroke

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Identifier Bilateral_INOs_due_to_stroke
Title Bilateral INOs Due to Stroke
Creator Daniel R. Gold, DO
Affiliation (DRG) Departments of Neurology, Ophthalmology, Neurosurgery, Otolaryngology - Head & Neck Surgery, Emergency Medicine, and Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland
Subject Abnormal Saccades; Abnormal Range
Description This is a 65-year-old man with multiple vascular risk factors who experienced the abrupt onset of diplopia 6 months prior to this video. MRI done within 24 hours of onset was unremarkable. Examination demonstrated subtle bilateral adduction lag with horizontal saccades. There was very mild abducting nystagmus to the right and left (not seen well in this video), also supportive of bilateral internuclear ophthalmoplegia (INO) in conjunction with the adduction lag. Despite the ‘normal' MRI, the etiology was felt to be ischemia (with false negative MRI) involving bilateral medial longitudinal fasciculi given his vascular risk factors and abrupt onset of improving symptoms. The diplopia resolved over months although a sensation of "visual lag" persisted when looking quickly to the right or to the left. This symptom was well explained by his adduction lag with horizontal saccades.
Date 2020-04
Language eng
Format video/mp4
Type Image/MovingImage
Collection Neuro-Ophthalmology Virtual Education Library: Dan Gold Neuro-Ophthalmology Collection: https://novel.utah.edu/Gold/
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890
Rights Management Copyright 2016. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s62g2x71
Setname ehsl_novel_gold
ID 1539412
Reference URL https://collections.lib.utah.edu/ark:/87278/s62g2x71
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