Left vertebral artery dissection causing bilateral internuclear ophthalmoplegia

Glen Jickling; Kelvin Leung; Kenman Gan; Ashfaq Shuaib; James Lewis; Mikael S. Mouradian

Left vertebral artery dissection causing bilateral internuclear ophthalmoplegia

Glen Jickling, Kelvin Leung, Kenman Gan, Ashfaq Shuaib, James Lewis, Mikael S. Mouradian

Research output: Contribution to journal › Article › peer-review

Abstract

A 21-year-old woman presented to the emergency department 1 day after a fall. On the day of presentation, she awoke with horizontal diplopia and posterior neck pain. Based on clinical findings, she was diagnosed with bilateral internuclear ophthalmoplegia. A conventional angiogram identified a left vertebral artery dissection. She was started on anticoagulant therapy, with gradual improvement of her diplopia over several months. Diplopia is frequently seen in the emergency department. Internuclear ophthalmoplegia is a cause of binocular diplopia and is important to recognize because it indicates a brainstem lesion requiring neurologic evaluation.

Original language	English (US)
Pages (from-to)	485-487
Number of pages	3
Journal	Canadian Journal of Emergency Medicine
Volume	10
Issue number	5
State	Published - Sep 2008
Externally published	Yes

Keywords

Bilateral internuclear ophthalmoplegia
Diplopia
Vertebral artery dissection

ASJC Scopus subject areas

Emergency Medicine

Fingerprint Dive into the research topics of 'Left vertebral artery dissection causing bilateral internuclear ophthalmoplegia'. Together they form a unique fingerprint.

Cite this

@article{461ea6930c334eb4af4a229713cff1fd,

title = "Left vertebral artery dissection causing bilateral internuclear ophthalmoplegia",

abstract = "A 21-year-old woman presented to the emergency department 1 day after a fall. On the day of presentation, she awoke with horizontal diplopia and posterior neck pain. Based on clinical findings, she was diagnosed with bilateral internuclear ophthalmoplegia. A conventional angiogram identified a left vertebral artery dissection. She was started on anticoagulant therapy, with gradual improvement of her diplopia over several months. Diplopia is frequently seen in the emergency department. Internuclear ophthalmoplegia is a cause of binocular diplopia and is important to recognize because it indicates a brainstem lesion requiring neurologic evaluation.",

keywords = "Bilateral internuclear ophthalmoplegia, Diplopia, Vertebral artery dissection",

author = "Glen Jickling and Kelvin Leung and Kenman Gan and Ashfaq Shuaib and James Lewis and Mouradian, {Mikael S.}",

year = "2008",

month = sep,

language = "English (US)",

volume = "10",

pages = "485--487",

journal = "Canadian Journal of Emergency Medicine",

issn = "1481-8035",

publisher = "BC Decker Inc.",

number = "5",

}

TY - JOUR

T1 - Left vertebral artery dissection causing bilateral internuclear ophthalmoplegia

AU - Jickling, Glen

AU - Leung, Kelvin

AU - Gan, Kenman

AU - Shuaib, Ashfaq

AU - Lewis, James

AU - Mouradian, Mikael S.

PY - 2008/9

Y1 - 2008/9

N2 - A 21-year-old woman presented to the emergency department 1 day after a fall. On the day of presentation, she awoke with horizontal diplopia and posterior neck pain. Based on clinical findings, she was diagnosed with bilateral internuclear ophthalmoplegia. A conventional angiogram identified a left vertebral artery dissection. She was started on anticoagulant therapy, with gradual improvement of her diplopia over several months. Diplopia is frequently seen in the emergency department. Internuclear ophthalmoplegia is a cause of binocular diplopia and is important to recognize because it indicates a brainstem lesion requiring neurologic evaluation.

AB - A 21-year-old woman presented to the emergency department 1 day after a fall. On the day of presentation, she awoke with horizontal diplopia and posterior neck pain. Based on clinical findings, she was diagnosed with bilateral internuclear ophthalmoplegia. A conventional angiogram identified a left vertebral artery dissection. She was started on anticoagulant therapy, with gradual improvement of her diplopia over several months. Diplopia is frequently seen in the emergency department. Internuclear ophthalmoplegia is a cause of binocular diplopia and is important to recognize because it indicates a brainstem lesion requiring neurologic evaluation.

KW - Bilateral internuclear ophthalmoplegia

KW - Diplopia

KW - Vertebral artery dissection

UR - http://www.scopus.com/inward/record.url?scp=54849417808&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=54849417808&partnerID=8YFLogxK

M3 - Article

C2 - 18826742

AN - SCOPUS:54849417808

VL - 10

SP - 485

EP - 487

JO - Canadian Journal of Emergency Medicine

JF - Canadian Journal of Emergency Medicine

SN - 1481-8035

IS - 5

ER -

Left vertebral artery dissection causing bilateral internuclear ophthalmoplegia

Abstract

Keywords

ASJC Scopus subject areas

Other files and links

Cite this