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Am J Med Sci ; 320(4): 278-80, 2000 Oct.
Article in English | MEDLINE | ID: mdl-11061354

ABSTRACT

Internuclear ophthalmoplegia is usually caused by multiple sclerosis, tumors, or vascular lesions of the brain stem. We report a patient with Wernicke syndrome who presented with a right-sided internuclear ophthalmoplegia. He recovered completely with intravenous thiamine (vitamin B1). There were no lesions in the magnetic resonance image (MRI) of the brain, suggesting a derangement at the cellular level as the cause.


Subject(s)
Ophthalmoplegia/drug therapy , Thiamine/therapeutic use , Wernicke Encephalopathy/complications , Humans , Infusions, Intravenous , Magnetic Resonance Imaging , Male , Middle Aged , Ophthalmoplegia/diagnosis , Ophthalmoplegia/etiology , Thiamine/administration & dosage , Treatment Outcome , Wernicke Encephalopathy/diagnosis
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