ABSTRACT
CASE REPORT: A 20 year-old woman was submitted to resection of an ependymome of the fourth ventricle. After surgery the patient began to refer diplopia and oscillopsia. WEBINO syndrome (wall-eyed bilateral internuclear ophthalmoplegia), vertical nystagmus and skew deviation were diagnosed. DISCUSSION: WEBINO syndrome is considered a special form of bilateral internuclear ophthalmoplegia. It is characterized by bilateral absence of adduction, nystagmic abduction of both eyes, convergence deficiency and frequently exotropia. Ischemic, demyelinating and infectious etiologies have been described, but to our knowledge this is the first report of a postsurgical form of this syndrome.
Subject(s)
Ocular Motility Disorders , Postoperative Complications , Female , Humans , Ocular Motility Disorders/diagnosis , Postoperative Complications/diagnosis , Syndrome , Young AdultABSTRACT
Caso clínico: Una mujer de 20 años de edad fuesometida a resección de un ependimoma del cuartoventrículo. Después de la cirugía la pacientecomenzó a sufrir diplopia y osciloscopia, siendodiagnosticada de síndrome de WEBINO (wall-eyedbilateral internuclear ophthalmoplegia), nistagmusvertical y desviación oblicua (skew).Discusión: El síndrome de WEBINO es consideradouna forma especial de oftalmoplejia internuclearbilateral. Se caracteriza por la ausencia de aduccióny nistagmus en abducción en ambos ojos, ausenciade convergencia y con frecuencia exotropia. Hastael momento se han descrito etiologías isquémicas,desmielinizantes e infecciosas. Sin embargo probablementeeste es el primer caso de síndrome deWEBINO de etiología posquirúrgica publicado(AU)
Case report: A 20 year-old woman was submittedto resection of an ependymome of the fourth ventricle.After surgery the patient began to refer diplopiaand oscillopsia. WEBINO syndrome (wall-eyedbilateral internuclear ophthalmoplegia), verticalnystagmus and skew deviation were diagnosed.Discussion: WEBINO syndrome is considered aspecial form of bilateral internuclear ophthalmoplegia.It is characterized by bilateral absence ofadduction, nystagmic abduction of both eyes, convergencedeficiency and frequently exotropia.Ischemic, demyelinating and infectious etiologieshave been described, but to our knowledge this isthe first report of a postsurgical form of this syndrome(AU)
