Sep 1, 2002 路 Similar to ischemic ocular motor palsies, most ischemic-based INO become asymptomatic in primary position over 2 to 3 months. The presence of associated features correlated with persistent diplopia. MRI has limited yield in demonstrating the causative infarct. Internuclear ophthalmoplegia (INO) is a common cause for diplopia in clinical practice.
In a case series of 410 neurology inpatients with INO, the most common causes were infarction (38%), multiple sclerosis (34%), and others (28%). Other causes included trauma, tentorial herniation, infection, tumor, and iatrogenic injury. 10. A patient with a left INO was also found to have a left hypertropia.
Dec 2, 2016 路 In this case report, we demonstrated that a traumatic microhemorrhage of the right MLF was responsible for the unilateral INO that presented immediately after head trauma and that SWI was more sensitive than other imaging to identify traumatic INO (Figure 2B-E). It was difficult to identify the cause of the INO using conventional images.
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