Bilateral internuclear ophthalmoplegia following minor head trauma
Internuclear ophthalmoplegia (INO) is characterized by pathognomonic findings on neurological examination. It results from a lesion in the medial longitudinal fasciculus (MLF) and is rarely caused by head trauma. The neuroanatomy of INO is complex and the mechanism by which trauma causes this syndro...
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Published in | The Journal of emergency medicine Vol. 24; no. 1; pp. 19 - 22 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
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New York, NY
Elsevier Inc
2003
Elsevier |
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Abstract | Internuclear ophthalmoplegia (INO) is characterized by pathognomonic findings on neurological examination. It results from a lesion in the medial longitudinal fasciculus (MLF) and is rarely caused by head trauma. The neuroanatomy of INO is complex and the mechanism by which trauma causes this syndrome is controversial. In the context of trauma, INO occurs frequently in association with other neurological findings and should prompt a thorough investigation and ICU admission. A case of an individual with acute post-traumatic INO is reported and discussed. |
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AbstractList | Internuclear ophthalmoplegia (INO) is characterized by pathognomonic findings on neurological examination. It results from a lesion in the medial longitudinal fasciculus (MLF) and is rarely caused by head trauma. The neuroanatomy of INO is complex and the mechanism by which trauma causes this syndrome is controversial. In the context of trauma, INO occurs frequently in association with other neurological findings and should prompt a thorough investigation and ICU admission. A case of an individual with acute post-traumatic INO is reported and discussed. |
Author | Hafner, John W Walsh, William P Kattah, Jorge C |
Author_xml | – sequence: 1 givenname: William P surname: Walsh fullname: Walsh, William P organization: Department of Emergency Medicine, University of Illinois College of Medicine at Peoria, OSF Saint Francis Medical Center, Peoria, Illinois, USA – sequence: 2 givenname: John W surname: Hafner fullname: Hafner, John W organization: Department of Emergency Medicine, University of Illinois College of Medicine at Peoria, OSF Saint Francis Medical Center, Peoria, Illinois, USA – sequence: 3 givenname: Jorge C surname: Kattah fullname: Kattah, Jorge C organization: Department of Neurology, University of Illinois College of Medicine at Peoria, OSF Saint Francis Medical Center, Peoria, Illinois, USA |
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Cites_doi | 10.1001/jama.1972.03200080027006 10.1001/archopht.1959.00940090689003 10.1159/000115211 10.1001/archopht.1974.01010010070017 10.1016/S0140-6736(61)92426-6 10.3171/jns.1979.51.4.0552 10.1002/ana.410010325 10.1212/WNL.29.2.251 10.1080/02688699844943 |
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Keywords | emergency medical services minor internuclear ophthalmoplegia (INO) head trauma Craniocerebral Diseases of the osteoarticular system Bilateral Male Intensive care unit Adult Complication Diagnosis Oculomotor syndrome Human Nervous system diseases Radiodiagnosis Nuclear magnetic resonance imaging Trauma Cerebral disorder Case study Internuclear ophthalmoplegia Eye disease Central nervous system disease Skull disease Medical imagery Computerized axial tomography |
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References | Rosati, Pinna, Paolino, D’Agostini (BIB7) 1981; 20 Walsh, Hoyt (BIB2) 1998 Strich (BIB3) 1961; 2 Zauel, Carlow (BIB5) 1977; 1 Baker (BIB6) 1979; 51 Smith, Cogan (BIB1) 1959; 61 Rich, Gregorius, Helper (BIB4) 1974; 92 Constantoyannis, Tzortzidis, Papadakis (BIB9) 1998; 12 Devereaux, Brust, Keane (BIB8) 1979; 29 Eyster, Hoyt, Wilson (BIB10) 1972; 220 Walsh (10.1016/S0736-4679(02)00662-5_BIB2) 1998 Constantoyannis (10.1016/S0736-4679(02)00662-5_BIB9) 1998; 12 Rich (10.1016/S0736-4679(02)00662-5_BIB4) 1974; 92 Devereaux (10.1016/S0736-4679(02)00662-5_BIB8) 1979; 29 Rosati (10.1016/S0736-4679(02)00662-5_BIB7) 1981; 20 Smith (10.1016/S0736-4679(02)00662-5_BIB1) 1959; 61 Strich (10.1016/S0736-4679(02)00662-5_BIB3) 1961; 2 Baker (10.1016/S0736-4679(02)00662-5_BIB6) 1979; 51 Zauel (10.1016/S0736-4679(02)00662-5_BIB5) 1977; 1 Eyster (10.1016/S0736-4679(02)00662-5_BIB10) 1972; 220 |
References_xml | – year: 1998 ident: BIB2 publication-title: Clinical neuro-ophthalmology, Vol. 1, 5 contributor: fullname: Hoyt – volume: 61 start-page: 687 year: 1959 end-page: 694 ident: BIB1 article-title: Internuclear ophthalmoplegia a review of fifty eight cases publication-title: AMA Arch Ophthalmol contributor: fullname: Cogan – volume: 29 start-page: 251 year: 1979 end-page: 255 ident: BIB8 article-title: Internuclear ophthalmoplegia caused by subdural hematoma publication-title: Neurology contributor: fullname: Keane – volume: 220 start-page: 1083 year: 1972 end-page: 1086 ident: BIB10 article-title: Oculomotor palsy from minor head trauma publication-title: JAMA contributor: fullname: Wilson – volume: 12 start-page: 377 year: 1998 end-page: 379 ident: BIB9 article-title: Internuclear ophthalmoplegia following minor head injury publication-title: Br J Neurosurg contributor: fullname: Papadakis – volume: 92 start-page: 66 year: 1974 end-page: 68 ident: BIB4 article-title: Bilateral internuclear ophthalmoplegia after trauma publication-title: Arch Ophthalmol contributor: fullname: Helper – volume: 2 start-page: 443 year: 1961 end-page: 448 ident: BIB3 article-title: Shearing of nerve fibers as a cause of brain damage due to head injury publication-title: Lancet contributor: fullname: Strich – volume: 1 start-page: 308 year: 1977 ident: BIB5 article-title: Internuclear ophthalmoplegia following cervical manipulation publication-title: Ann Neurol contributor: fullname: Carlow – volume: 51 start-page: 552 year: 1979 end-page: 555 ident: BIB6 article-title: Internuclear ophthalmoplegia following head injury publication-title: J Neurosurg contributor: fullname: Baker – volume: 20 start-page: 80 year: 1981 end-page: 83 ident: BIB7 article-title: Reversible bilateral internuclear ophthalmoplegia due to head trauma publication-title: Eur Neurol contributor: fullname: D’Agostini – volume: 220 start-page: 1083 year: 1972 ident: 10.1016/S0736-4679(02)00662-5_BIB10 article-title: Oculomotor palsy from minor head trauma publication-title: JAMA doi: 10.1001/jama.1972.03200080027006 contributor: fullname: Eyster – volume: 61 start-page: 687 year: 1959 ident: 10.1016/S0736-4679(02)00662-5_BIB1 article-title: Internuclear ophthalmoplegia a review of fifty eight cases publication-title: AMA Arch Ophthalmol doi: 10.1001/archopht.1959.00940090689003 contributor: fullname: Smith – volume: 20 start-page: 80 year: 1981 ident: 10.1016/S0736-4679(02)00662-5_BIB7 article-title: Reversible bilateral internuclear ophthalmoplegia due to head trauma publication-title: Eur Neurol doi: 10.1159/000115211 contributor: fullname: Rosati – volume: 92 start-page: 66 year: 1974 ident: 10.1016/S0736-4679(02)00662-5_BIB4 article-title: Bilateral internuclear ophthalmoplegia after trauma publication-title: Arch Ophthalmol doi: 10.1001/archopht.1974.01010010070017 contributor: fullname: Rich – year: 1998 ident: 10.1016/S0736-4679(02)00662-5_BIB2 contributor: fullname: Walsh – volume: 2 start-page: 443 year: 1961 ident: 10.1016/S0736-4679(02)00662-5_BIB3 article-title: Shearing of nerve fibers as a cause of brain damage due to head injury publication-title: Lancet doi: 10.1016/S0140-6736(61)92426-6 contributor: fullname: Strich – volume: 51 start-page: 552 year: 1979 ident: 10.1016/S0736-4679(02)00662-5_BIB6 article-title: Internuclear ophthalmoplegia following head injury publication-title: J Neurosurg doi: 10.3171/jns.1979.51.4.0552 contributor: fullname: Baker – volume: 1 start-page: 308 year: 1977 ident: 10.1016/S0736-4679(02)00662-5_BIB5 article-title: Internuclear ophthalmoplegia following cervical manipulation publication-title: Ann Neurol doi: 10.1002/ana.410010325 contributor: fullname: Zauel – volume: 29 start-page: 251 year: 1979 ident: 10.1016/S0736-4679(02)00662-5_BIB8 article-title: Internuclear ophthalmoplegia caused by subdural hematoma publication-title: Neurology doi: 10.1212/WNL.29.2.251 contributor: fullname: Devereaux – volume: 12 start-page: 377 year: 1998 ident: 10.1016/S0736-4679(02)00662-5_BIB9 article-title: Internuclear ophthalmoplegia following minor head injury publication-title: Br J Neurosurg doi: 10.1080/02688699844943 contributor: fullname: Constantoyannis |
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SubjectTerms | Adult Biological and medical sciences Craniocerebral Trauma - complications Craniocerebral Trauma - diagnosis emergency medical services Emergency Service, Hospital Follow-Up Studies head trauma Humans Injury Severity Score Magnetic Resonance Imaging Male Medical sciences minor internuclear ophthalmoplegia (INO) Neurologic Examination Ocular Motility Disorders - diagnosis Ocular Motility Disorders - etiology Oculomotor disorders Ophthalmology Ophthalmoplegia - diagnosis Ophthalmoplegia - etiology Risk Assessment Tomography, X-Ray Computed |
Title | Bilateral internuclear ophthalmoplegia following minor head trauma |
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