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A Case Report of Wall-Eyed Bilateral Internuclear Ophthalmoplegia with Bilateral Facial Palsy

Authors
Im, KayeongJu, HyunjinLee, MinaRoh, Hakjae
Issue Date
Nov-2020
Publisher
W. B. Saunders Co., Ltd.
Keywords
Diplopia; Facial diplegia; Stroke; WEBINO
Citation
Journal of Stroke and Cerebrovascular Diseases, v.29, no.11
Journal Title
Journal of Stroke and Cerebrovascular Diseases
Volume
29
Number
11
URI
https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/2372
DOI
10.1016/j.jstrokecerebrovasdis.2020.105139
ISSN
1052-3057
1532-8511
Abstract
Case reports of bilateral facial palsy with horizontal gaze restriction are rare. A 62-year-old woman experienced sudden onset of bilateral adduction deficits, bilateral abducting nystagmus accompanied with facial diplegia. We confirmed acute ischemic stroke in the midline dorsal pons, where medial longitudinal fasciculus (MLF) and facial nerve fascicles are located. This can be explained by vascular variation of pontine perforating arteries.
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