Bilateral internuclear ophthalmoplegia and clivus fracture following head injury: case report

Arquivos de Neuro-Psiquiatria

Leonardo Bonilha¹  Yvens Barbosa Fernandes¹  João Paulo De Vasconcelos Mattos¹  Wilson Adriano Abraão Borges¹  Guilherme Borges¹ 

[1] ,Universidade Estadual de Campinas Faculdade de Ciências Médicas Departamento de Neurologia

关键词: head injury;    internuclear ophthalmoplegia;    skull base;    clivus fracture;    traumatismo cranienecefálico;    oftalmoplegia internuclear;    base do crânio;    fratura de clivus;   

DOI  :  10.1590/S0004-282X2002000400023

来源: SciELO

【 摘 要 】

Internuclear ophthalmoplegia is a remarkable finding, particularly in patients victims of head injury. The medial longitudinal fasciculus, which is believed to be lesioned in cases of internuclear ophthalmoplegia, has an unique brain stem position and the mechanism involved in brain stem contusions implies a maximal intensity of shearing forces on the skull base. We describe a very rare association of bilateral ophthalmoplegia and clivus fracture following head injury, without further neurological signs. The patient history, his physical examination and the image investigation provide additional evidence to some of the mechanisms of injury proposed to explain post-traumatic internuclear ophthalmoplegia.

【 授权许可】

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