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 journalArticle

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 languageEnglish (US)
Pages (from-to)485-487
Number of pages3
JournalCanadian Journal of Emergency Medicine
Volume10
Issue number5
StatePublished - Sep 2008
Externally publishedYes

Fingerprint

Vertebral Artery Dissection
Ocular Motility Disorders
Diplopia
Hospital Emergency Service
Neck Pain
Anticoagulants
Nervous System
Brain Stem
Angiography

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.

Left vertebral artery dissection causing bilateral internuclear ophthalmoplegia. / Jickling, Glen; Leung, Kelvin; Gan, Kenman; Shuaib, Ashfaq; Lewis, James; Mouradian, Mikael S.

In: Canadian Journal of Emergency Medicine, Vol. 10, No. 5, 09.2008, p. 485-487.

Research output: Contribution to journalArticle

Jickling, G, Leung, K, Gan, K, Shuaib, A, Lewis, J & Mouradian, MS 2008, 'Left vertebral artery dissection causing bilateral internuclear ophthalmoplegia', Canadian Journal of Emergency Medicine, vol. 10, no. 5, pp. 485-487.
Jickling G, Leung K, Gan K, Shuaib A, Lewis J, Mouradian MS. Left vertebral artery dissection causing bilateral internuclear ophthalmoplegia. Canadian Journal of Emergency Medicine. 2008 Sep;10(5):485-487.
Jickling, Glen ; Leung, Kelvin ; Gan, Kenman ; Shuaib, Ashfaq ; Lewis, James ; Mouradian, Mikael S. / Left vertebral artery dissection causing bilateral internuclear ophthalmoplegia. In: Canadian Journal of Emergency Medicine. 2008 ; Vol. 10, No. 5. pp. 485-487.
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