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,
Full text not available from this repository.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.
| Item Type: | Article |
|---|---|
| Funders: | None |
| Uncontrolled Keywords: | Aged; Diplopia; Female; Humans; Ocular Motility Disorders; Stroke, Lacunar |
| Subjects: | R Medicine > RE Ophthalmology > Ophthalmology |
| Divisions: | Faculty of Medicine > Department of Ophthalmology |
| Depositing User: | Ms Zaharah Ramly |
| Date Deposited: | 20 Oct 2023 02:13 |
| Last Modified: | 20 Oct 2023 02:13 |
| URI: | http://eprints.um.edu.my/id/eprint/35632 |
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