| Title | Left vertebral artery dissection causing bilateral internuclear ophthalmoplegia. | | Author(s) | Jickling G, Leung K, Gan K, Shuaib A, Lewis J, Mouradian MS | | Institution | Division of Neurology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada. | | Source | CJEM 2008 Sep; 10(5):485-7. | | Abstract | A 21-year-old woman presented to the emergency department 1 day after a fall. On the day of presentation, she awoke with horizontal diplopia and posterior neck pain. Based on clinical findings, she was diagnosed with bilateral internuclear ophthalmoplegia. A conventional angiogram identified a left vertebral artery dissection. She was started on anticoagulant therapy, with gradual improvement of her diplopia over several months. Diplopia is frequently seen in the emergency department. Internuclear ophthalmoplegia is a cause of binocular diplopia and is important to recognize because it indicates a brainstem lesion requiring neurologic evaluation. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 18826742 |
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