A variant of WEBINO syndrome after top of the basilar artery stroke |
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| Authors: | Fernando Sierra-Hidalgo,Teresa Moreno-Ramos,Alberto Villarejo,Leticia Martí n-Gil,Eduardo de Pablo-Ferná ndez,Elisa Correas-Callero,Ana Ramos,Juliá n Benito-Leó n |
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| Affiliation: | 1. Department of Neurology, Hospital Universitario 12 de Octubre, Madrid, Spain;2. Neuroradiology Division, Department of Radiology, Hospital Universitario 12 de Octubre, Madrid, Spain;3. Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas (CIBERNED), Spain |
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| Abstract: | Wall-eyed bilateral internuclear ophthalmoplegia (WEBINO) is an uncommon neuro-ophthalmologic syndrome consisting of both eyes primary position exotropia and bilateral internuclear ophthalmoplegia. It is thought to be caused by medial midbrain lesions involving both bilateral medial longitudinal fasciculi and medial rectus subnuclei. We report the clinical and neuroimaging findings of a WEBINO syndrome associated to bilateral ptosis, non-reactive mydriasis and complete vertical gaze palsy in a 55-year-old man who suffered a top of the basilar artery stroke causing tegmental midbrain infarction. |
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| Keywords: | Brainstem Midbrain MRI Oculomotor nerve Stroke Top of the basilar artery syndrome Wall-eyed bilateral internuclear ophthalmoplegia (WEBINO) |
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