Document Detail

Left vertebral artery dissection causing bilateral internuclear ophthalmoplegia.
MedLine Citation:
PMID:  18826742     Owner:  NLM     Status:  MEDLINE    
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.
Glen Jickling; Kelvin Leung; Kenman Gan; Ashfaq Shuaib; James Lewis; Mikael S Mouradian
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  CJEM     Volume:  10     ISSN:  1481-8035     ISO Abbreviation:  CJEM     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-10-01     Completed Date:  2009-02-10     Revised Date:  2011-10-05    
Medline Journal Info:
Nlm Unique ID:  100893237     Medline TA:  CJEM     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  485-7     Citation Subset:  IM    
Division of Neurology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
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MeSH Terms
Accidental Falls
Anticoagulants / therapeutic use
Cerebral Angiography
Diagnosis, Differential
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Ophthalmoplegia / diagnosis,  etiology*,  physiopathology,  therapy
Vertebral Artery Dissection / complications*,  diagnosis,  therapy
Reg. No./Substance:

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