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KMID : 0960220080070020204
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Journal of the Korean Balance Society
2008 Volume.7 No. 2 p.204 ~ p.206
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Bilateral Internuclear Ophthalmoplegia Following Spontaneous Subarachnoid Hemorrhage
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Oh Se-Jin
CHoi Kwang-Dong
Jung Dae-Soo
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Abstract
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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.
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KEYWORD
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Bilateral internuclear ophthalmoplegia, Spontaneous subarachnoid hemorrhage, Vasogenic edema
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