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
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 journal › Article
}
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 -