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I think i have double vision? Or not? internuclear ophthalmoplegia following right lacunar infarct

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 abduc...

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Main Authors: Nien, L.H., Subrayan, Visvaraja
Format: Article
Published: Malaysian Medical Association 2021
Subjects:
Ophthalmology
Online Access:http://eprints.um.edu.my/35632/
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spelling my.um.eprints.356322023-10-20T02:13:56Z http://eprints.um.edu.my/35632/ I think i have double vision? Or not? internuclear ophthalmoplegia following right lacunar infarct Nien, L.H. Subrayan, Visvaraja Ophthalmology 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. Malaysian Medical Association 2021 Article PeerReviewed Nien, L.H. and Subrayan, Visvaraja (2021) I think i have double vision? Or not? internuclear ophthalmoplegia following right lacunar infarct. Medical Journal of Malaysia, 76 (6). pp. 950-952. ISSN 0300-5283,
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic Ophthalmology
spellingShingle Ophthalmology
Nien, L.H.
Subrayan, Visvaraja
I think i have double vision? Or not? internuclear ophthalmoplegia following right lacunar infarct
description 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.
format Article
author Nien, L.H.
Subrayan, Visvaraja
author_facet Nien, L.H.
Subrayan, Visvaraja
author_sort Nien, L.H.
title I think i have double vision? Or not? internuclear ophthalmoplegia following right lacunar infarct
title_short I think i have double vision? Or not? internuclear ophthalmoplegia following right lacunar infarct
title_full I think i have double vision? Or not? internuclear ophthalmoplegia following right lacunar infarct
title_fullStr I think i have double vision? Or not? internuclear ophthalmoplegia following right lacunar infarct
title_full_unstemmed I think i have double vision? Or not? internuclear ophthalmoplegia following right lacunar infarct
title_sort i think i have double vision? or not? internuclear ophthalmoplegia following right lacunar infarct
publisher Malaysian Medical Association
publishDate 2021
url http://eprints.um.edu.my/35632/
_version_ 1781704489441427456
score 13.211869

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