-transparent.png){kind=logo}
This case report concerns a patient who developed reversible bilateral internuclear ophthalmoplegia as an immediate consequence of head trauma. To our knowledge, only one case of internuclear ophthalmoplegia related to head trauma has been previously reported in the literature. The mechanism by which trauma can produce a relatively isolated brain stem lesion to the medial longitudinal fasciculus is unclear. Some experimental data on the mechanisms of cerebral concussion would indicate that the biomechanical forces due to impact acceleration of the head exert their predominant effect on the posterior portion of the brain stem. This might account for critical vulnerability of the structures situated in this portion, including the medial longitudinal fasciculus.
G Rosati, and
L Pinna, and
E Paolino, and
G D'Agostini
November 1985,
Neurosurgery,
G Rosati, and
L Pinna, and
E Paolino, and
G D'Agostini
March 2017,
Indian journal of ophthalmology,
G Rosati, and
L Pinna, and
E Paolino, and
G D'Agostini
June 1989,
Journal of clinical neuro-ophthalmology,
G Rosati, and
L Pinna, and
E Paolino, and
G D'Agostini
February 2001,
Acta ophthalmologica Scandinavica,
G Rosati, and
L Pinna, and
E Paolino, and
G D'Agostini
January 2003,
The Journal of emergency medicine,
G Rosati, and
L Pinna, and
E Paolino, and
G D'Agostini
February 1993,
Developmental medicine and child neurology,
G Rosati, and
L Pinna, and
E Paolino, and
G D'Agostini
July 1974,
Archives of ophthalmology (Chicago, Ill. : 1960),
G Rosati, and
L Pinna, and
E Paolino, and
G D'Agostini
June 1981,
Annals of ophthalmology,
G Rosati, and
L Pinna, and
E Paolino, and
G D'Agostini
September 2002,
Arquivos de neuro-psiquiatria,
G Rosati, and
L Pinna, and
E Paolino, and
G D'Agostini
October 1979,
Journal of neurosurgery,
