Wall-eyed bilateral internuclear ophthalmoplegia from lesions at different levels in the brainstem. |
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Authors: | Chien-Ming Chen Sung-Hsiung Lin |
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Institution: | Section of Neurology, Department of Internal Medicine, Feng Yuan Hospital, Department of Health, Executive Yuan, Taiwan, Republic of China. jmchen@mail.fyh.doh.gov.tw |
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Abstract: | Wall-eyed bilateral internuclear ophthalmoplegia (WEBINO) is a rarely reported syndrome. There is dispute about whether WEBINO is caused by a pontine or a midbrain lesion and whether the medial rectus subnuclei are implicated. In a study of the clinical and imaging features of four patients with WEBINO, we found that that three of four lesions involved the midbrain but not necessarily the medial rectus subnuclei. |
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