Internuclear ophthalmoplegia (INO) is a sign of exquisite localizing value, often due to either multiple sclerosis or infarction. To demonstrate that unusual causes of INO are more common than the 11% reported in previous series, this review considers a case series of 410 inpatients whom I personally examined during a 33-year period. In this series, the cause of INO was infarction in 157 patien...

The association of internuclear ophthalmoplegia (INO) with torsional nystagmus is rare. We report the case of a 63-year-old man presenting with sudden onset of diplopia. On ocular examination, he had left INO and a torsional nystagmus with counter-clockwise quick-phases from the patient's point of view in the primary position, ipsiversive to the side of the medical longitudinal fasciculus (MLF)...

Purpose. To report a case of internuclear ophthalmoplegia (INO) caused by cocaine. Method. We report a case of a 54-year-old female who presented with a left INO three days after snorting cocaine, and we review the literature. Results. MRI of the brain demonstrated several small abnormal foci in the pons on FLAIR and diffusion weighted imaging consistent with ischemic infarction. The patient's ...

Purpose: We report a case of cavernous sinus meningioma presenting with unilateral pseudo-internuclear ophthalmoplegia.Case summary: A 50-year-old female visited our clinic history insidious onset horizontal diplopia at primary and left gaze over 3 weeks. The symptom had diurnal variation was aggravated fatigue. There intermittent upper eyelid drooping the right eye. She migraines, which recent...