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Traumatic internuclear ophthalmoplegia.

¹Department of Neurology, LAC USC Medical Center.

Journal of Clinical Neuro-Ophthalmology

|September 1, 1987

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Traumatic brain injuries can cause rare eye movement disorders like internuclear ophthalmoplegia. This case highlights pontine hemorrhage leading to bilateral internuclear ophthalmoplegia after trauma.

Area of Science:

Neuroscience
Ophthalmology
Trauma Surgery

Background:

Internuclear ophthalmoplegia (INO) is an eye movement disorder typically associated with demyelinating or vascular diseases.
Traumatic causes of INO are exceptionally rare, making them diagnostically challenging.

Observation:

This report details a unique case of a patient who developed bilateral INO following a traumatic injury.
The patient presented with specific neurological deficits indicative of brainstem involvement.

Findings:

A pontine hemorrhage, confirmed via neuroimaging, was identified as the direct cause of the bilateral INO.
The hemorrhage likely disrupted the medial longitudinal fasciculus (MLF) pathways in the pons.

Implications:

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This case expands the differential diagnosis for INO to include traumatic brainstem injuries.
Understanding this association is crucial for accurate diagnosis and management of patients with head trauma and ophthalmoplegia.