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 |
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Keywords
- Bilateral internuclear ophthalmoplegia
- Diplopia
- Vertebral artery dissection
ASJC Scopus subject areas
- Emergency Medicine
Cite this
Jickling, G., Leung, K., Gan, K., Shuaib, A., Lewis, J., & Mouradian, M. S. (2008). Left vertebral artery dissection causing bilateral internuclear ophthalmoplegia. Canadian Journal of Emergency Medicine, 10(5), 485-487.