Bilateral internuclear ophthalmoplegia and clivus fracture following head injury: case report
Arq. neuropsiquiatr
;
60(3A): 636-638, Sept. 2002. ilus
Article
in English
| LILACS
| ID: lil-316648
ABSTRACT
Internuclear ophthalmoplegia is a remarkable finding, particularly in patients victims of head injury. The medial longitudinal fasciculus, which is believed to be lesioned in cases of internuclear ophthalmoplegia, has an unique brain stem position and the mechanism involved in brain stem contusions implies a maximal intensity of shearing forces on the skull base. We describe a very rare association of bilateral ophthalmoplegia and clivus fracture following head injury, without further neurological signs. The patient history, his physical examination and the image investigation provide additional evidence to some of the mechanisms of injury proposed to explain post-traumatic internuclear ophthalmoplegia
Full text:
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Index:
LILACS (Americas)
Main subject:
Ophthalmoplegia
/
Cranial Fossa, Posterior
/
Craniocerebral Trauma
Limits:
Adult
/
Humans
Language:
English
Journal:
Arq. neuropsiquiatr
Journal subject:
Neurology
/
Psychiatry
Year:
2002
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Estadual de Campinas/BR
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