I think i have double vision? Or not? internuclear ophthalmoplegia following right lacunar infarct
Document Type
Article
Publication Date
1-1-2021
Abstract
SUMMARY Internuclear Ophthalmoplegia (INO) is an inability of the ipsilateral adduction with a contralateral horizontal abducting saccade on attempted gaze to the contra-lesion side. Injury to the medial longitudinal fasciculus (MLF) will obstruct the signalling pathway between the ipsilateral abducens nucleus and the contralateral medial rectus muscle. Infarction accounts for 38 of INO cases with mostly being unilateral (87), followed by demyelination (34), which mostly being bilateral (73). Lacunar infarct is the most common ischemic stroke. INO can be easily missed due to its subtle presentation with no complaints from the patients. A full cranial nerves assessment, includes the extraocular muscles movement, is important. Ischemic and demyelinating INO typically recover. We present here of a case of INO following right lacunar infarct in a 72-year-old Malay woman. She had hypertensive crisis due to missed medications. Her blood pressure was well controlled throughout the hospital admission and finally she was discharged home with continuation of care at her primary facility. © 2021, Malaysian Medical Association. All rights reserved.
Keywords
Aged, Diplopia, Female, Humans, Ocular Motility Disorders, Stroke, Lacunar
Divisions
ophthalmplogy
Funders
None
Publication Title
Medical Journal of Malaysia
Volume
76
Issue
6
Publisher
Malaysian Medical Association