J Korean Bal Soc.  2008 Dec;7(2):204-206.

Bilateral Internuclear Ophthalmoplegia Following Spontaneous Subarachnoid Hemorrhage

Affiliations
  • 1Department of Neurology, Pusan National University College of Medicine, Pusan National University Hospital, Busan, Korea. kdchoi@medimail.co.kr

Abstract

A 44-year-old woman presented with horizontal diplopia 2 days after spontaneous subarachnoid hemorrhage. Neurological examination disclosed bilateral internuclear ophthalmoplegia and neck stiffness. Neurovascular imagings documented subarachnoid and intraventriclar hemorrhage with an aneurysm arising from the left superior cerebellar artery, and vasogenic edema in the bilateral pontomesencephalic junction. Parenchymal vasogenic edema due to microvascular damage may give rise to bilateral internuclear ophthalmoplegia during the acute stage of spontaneous subarachnoid hemorrhage.

Keyword

Bilateral internuclear ophthalmoplegia; Spontaneous subarachnoid hemorrhage; Vasogenic edema

MeSH Terms

Adult
Aneurysm
Arteries
Diplopia
Edema
Female
Hemorrhage
Humans
Neck
Neurologic Examination
Ocular Motility Disorders
Subarachnoid Hemorrhage
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