Internuclear Ophthalmoplegia

Disorder of conjugate lateral gaze in which the affected eye shows impairment of adduction

Aetiology

  • Injury/dysfunction in the medial longitudinal fasciculus (tract which acts as the central connection for the oculomotor nerve, trochlear nerve, and oculomotor nerve)
  • In younger patients, MS is a common cause
  • Older patients generally have a vascular aetiology (stroke)

Clinical presentation

  • Impairment of adduction
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