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Related Experiment Video

Updated: Jun 10, 2026

In vivo Imaging of Optic Nerve Fiber Integrity by Contrast-Enhanced MRI in Mice
11:38

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Published on: July 22, 2014

MRI-Negative Internuclear Ophthalmoplegia: A Diagnostic Challenge Emphasizing Clinical Localization.

Moataz Mohamed1,2, Abdulaziz Alharbi3, Rahmah Alanazi4

  • 1General Medicine, Al Ribat National University, Khartoum, SDN.

Cureus
|June 9, 2026
PubMed
Summary
This summary is machine-generated.

Internuclear ophthalmoplegia (INO) can be challenging to diagnose with MRI due to small lesions. Pathognomonic physical findings are crucial for diagnosing this ocular motility disorder, especially in pediatric demyelinating events.

Area of Science:

  • Neurology
  • Ophthalmology
  • Neuroimaging

Background:

Keywords:
bilateral internuclear ophthalmoplegiaclinical localizationmedial longitudinal fasciculusmri-negativemultiple sclerosis

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  • Internuclear ophthalmoplegia (INO) is an ocular motility disorder affecting the medial longitudinal fasciculus (MLF).
  • Small inflammatory lesions in the MLF may not be detected by standard MRI (1.5T or 3T), causing clinical-radiographic dissociation.
  • This dissociation presents a diagnostic challenge, particularly when physical findings are conclusive despite negative neuroimaging.