Bilateral Internuclear Ophthalmoplegia Following Spontaneous Subarachnoid Hemorrhage

Oh,  Se Jin; Choi,  Kwang Dong; Jung,  Dae Soo

J Korean Bal Soc > Volume 7(2); 2008 > Article

Case Report

Journal of the Korean Balance Society 2008;7(2): 204-206.

자발성 지주막하 출혈에 의한 양측 핵사이 눈근육마비

최광동, 오세진, 정대수

부산대학교 의과대학 부산대학병원 신경과

Bilateral Internuclear Ophthalmoplegia Following Spontaneous Subarachnoid Hemorrhage

Se Jin Oh, Kwang Dong Choi, Dae Soo Jung

Department 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. Key words: Bilateral internuclear ophthalmoplegia, Spontaneous subarachnoid hemorrhage, Vasogenic edema

Keywords: Bilateral internuclear ophthalmoplegia; Spontaneous subarachnoid hemorrhage; Vasogenic edema