Dear Editor, A-72-year-old male with medical history of hypertension admitted with acute onset double vision.On neurological examination,right eye could not adduct whereas nystagmus occurs on the left eye abduction.Cr...Dear Editor, A-72-year-old male with medical history of hypertension admitted with acute onset double vision.On neurological examination,right eye could not adduct whereas nystagmus occurs on the left eye abduction.Cranial diffusion weighted imaging (DWI) was in normal ranges.Based on the negative DWI result and atypical clinical presentation for stroke,third nerve paly was considered in the forefront and the patient was planned to be discharged with suggestion of ophthalmology outpatient visit.However,following neurology evaluation,the diagnosis of left internuclear ophthalmoplegia (INO) was favored.展开更多
文摘Dear Editor, A-72-year-old male with medical history of hypertension admitted with acute onset double vision.On neurological examination,right eye could not adduct whereas nystagmus occurs on the left eye abduction.Cranial diffusion weighted imaging (DWI) was in normal ranges.Based on the negative DWI result and atypical clinical presentation for stroke,third nerve paly was considered in the forefront and the patient was planned to be discharged with suggestion of ophthalmology outpatient visit.However,following neurology evaluation,the diagnosis of left internuclear ophthalmoplegia (INO) was favored.
