Ocular myasthenia with motility pattern mimicking bilateral internuclear ophthalmoplegia. Lag of adducting eye on right (A) and left (C) gaze, relieved with edrophonium (Tensilon) (B and D). Convergence before (E) and after (F) edrophonium administration. Note relief of ptosis (B and D). (Glaser JS: Myasthenic pseudointernuclear ophthalmoplegia. Arch Ophthalmol 75:363, 1966. Copyright © 1966, American Medical Association)

Ocular myasthenia with motility pattern mimicking bilateral internuclear ophthalmoplegia. Lag of adducting eye on right (A) and left (C) gaze, relieved with edrophonium (Tensilon) (B and D). Convergence before (E) and after (F) edrophonium administration. Note relief of ptosis (B and D). (Glaser JS: Myasthenic pseudointernuclear ophthalmoplegia. Arch Ophthalmol 75:363, 1966. Copyright © 1966, American Medical Association)

Imagen tomada de: sketchymedicine.com/2013/12/internuclear-ophthalmoplegia/

Oftalmoplejia internuclear

Imagen tomada de: sketchymedicine.com/2013/12/internuclear-ophthalmoplegia/

Test of Extraocular Muscle Function in a Patient with Internuclear Ophthalmoplegia.

Test of Extraocular Muscle Function in a Patient with Internuclear Ophthalmoplegia.

Stroke syndromes associated with DWI-negative MRI include ataxic hemiparesis and isolated internuclear ophthalmoplegia

Stroke syndromes associated with DWI-negative MRI include ataxic hemiparesis and isolated internuclear ophthalmoplegia

Internuclear opthalamoplegia- lion in MLF.  sign of MS, destruction of oligodendrocytes (in CNS) that produce myelin. assoc with HLD DR2. treat with interferon Beta

Internuclear opthalamoplegia- lion in MLF. sign of MS, destruction of oligodendrocytes (in CNS) that produce myelin. assoc with HLD DR2. treat with interferon Beta

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