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Published on: April 14, 2014
[Ophtalmoplegia secondary to ponto-mesencephalic infarction : clinical-radiological correlation in the WEBINO
Éléonore Defraigne-Peigneur1, Mélody Félix2, Géraldine Dasnoy-Sumell2
1Service de Radiodiagnostic, CHU Liège, Belgique.
Abstract:
We report on a case of posterior midbrain stroke revealed by WEBINO ("Wall-Eyed Bilateral InterNuclear Ophthalmoplegia") syndrome, a relatively rare neuro-ophthalmological clinical entity combining bilateral internuclear ophthalmoplegia and exotropia. Encephalic MRI unraveled a bilateral paramedian ischemic lesion located at the posterior area of the ponto-mesencephalic junction, perfectly correlating to the theoretical localization of the medial longitudinal fasciculi. Clinical identification of this syndrome is key to efficiently guide MRI reading and proper management.
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