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- Case Report Bilateral Internuclear Ophthalmoplegia Following Spontaneous Subarachnoid Hemorrhage
- Se Jin Oh, Kwang Dong Choi, Dae Soo Jung
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DOI: https://doi.org/
Department of Neurology, Pusan National University College of Medicine, Pusan National University Hospital, Busan, Korea. kdchoi@medimail.co.kr 
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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
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