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Case report: A variant of wall-eyed bilateral internuclear ophthalmoplegia from unilateral pons infarction

Wall-eyed bilateral internuclear ophthalmoplegia (WEBINO) is an uncommon ocular motility disorder that encompasses the following clinical signs: bilateral adduction deficits, bilateral abducting nystagmus, convergence lost, and a large angle exotropia in primary gaze. Here we report a case of a 55-y...

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Autores principales: Wang, Tingting, Cao, Duanhua, Han, Jingzhe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9500521/
https://www.ncbi.nlm.nih.gov/pubmed/36161185
http://dx.doi.org/10.3389/fnins.2022.974645
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author Wang, Tingting
Cao, Duanhua
Han, Jingzhe
author_facet Wang, Tingting
Cao, Duanhua
Han, Jingzhe
author_sort Wang, Tingting
collection PubMed
description Wall-eyed bilateral internuclear ophthalmoplegia (WEBINO) is an uncommon ocular motility disorder that encompasses the following clinical signs: bilateral adduction deficits, bilateral abducting nystagmus, convergence lost, and a large angle exotropia in primary gaze. Here we report a case of a 55-year-old man presenting with atypical WEBINO syndrome with unilateral exotropia. The coverage test was used to record the patient's alternating exotropia. The patient experienced diplopia and ophthalmoplegia and was admitted to our hospital 3 days after the onset of the double vision. Neurologic examination showed left eye exotropia and bilateral internuclear ophthalmoplegia with impaired convergence. Vertical saccades of the left eye were also limited. Consequently, an MRI scan suggested an acute infarction in the left of the pontine tegmentum. The patient was finally diagnosed with pons infarction and was treated with anticoagulation and anti-platelet aggregation therapy.
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spelling pubmed-95005212022-09-24 Case report: A variant of wall-eyed bilateral internuclear ophthalmoplegia from unilateral pons infarction Wang, Tingting Cao, Duanhua Han, Jingzhe Front Neurosci Neuroscience Wall-eyed bilateral internuclear ophthalmoplegia (WEBINO) is an uncommon ocular motility disorder that encompasses the following clinical signs: bilateral adduction deficits, bilateral abducting nystagmus, convergence lost, and a large angle exotropia in primary gaze. Here we report a case of a 55-year-old man presenting with atypical WEBINO syndrome with unilateral exotropia. The coverage test was used to record the patient's alternating exotropia. The patient experienced diplopia and ophthalmoplegia and was admitted to our hospital 3 days after the onset of the double vision. Neurologic examination showed left eye exotropia and bilateral internuclear ophthalmoplegia with impaired convergence. Vertical saccades of the left eye were also limited. Consequently, an MRI scan suggested an acute infarction in the left of the pontine tegmentum. The patient was finally diagnosed with pons infarction and was treated with anticoagulation and anti-platelet aggregation therapy. Frontiers Media S.A. 2022-09-09 /pmc/articles/PMC9500521/ /pubmed/36161185 http://dx.doi.org/10.3389/fnins.2022.974645 Text en Copyright © 2022 Wang, Cao and Han. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neuroscience
Wang, Tingting
Cao, Duanhua
Han, Jingzhe
Case report: A variant of wall-eyed bilateral internuclear ophthalmoplegia from unilateral pons infarction
title Case report: A variant of wall-eyed bilateral internuclear ophthalmoplegia from unilateral pons infarction
title_full Case report: A variant of wall-eyed bilateral internuclear ophthalmoplegia from unilateral pons infarction
title_fullStr Case report: A variant of wall-eyed bilateral internuclear ophthalmoplegia from unilateral pons infarction
title_full_unstemmed Case report: A variant of wall-eyed bilateral internuclear ophthalmoplegia from unilateral pons infarction
title_short Case report: A variant of wall-eyed bilateral internuclear ophthalmoplegia from unilateral pons infarction
title_sort case report: a variant of wall-eyed bilateral internuclear ophthalmoplegia from unilateral pons infarction
topic Neuroscience
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9500521/
https://www.ncbi.nlm.nih.gov/pubmed/36161185
http://dx.doi.org/10.3389/fnins.2022.974645
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