Wall-Eyed Monocular Internuclear Ophthalmoplegia (WEMINO) with Contraversive Ocular Tilt Reaction.

Author: Sang Beom JEON ¹ ; Sun J CHUNG ; Hyosook AHN ; Jae Hong LEE ; Jin Man JUNG ; Myoung C LEE
Author Information

1. Department of Neurology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. mclee@amc.seoul.kr
Publication Type:Case Report
Keywords: Wall-eyed monocular internuclear ophthalmoplegia (WEMINO); Internuclear ophthalmoplegia; Ocular tilt reaction
MeSH: Aged; Exotropia; Female; Head; Humans; Infarction; Magnetic Resonance Imaging; Ocular Motility Disorders*; Pons
From:Journal of Clinical Neurology 2005;1(1):101-103
CountryRepublic of Korea
Language:English
Abstract: Wall-eyed monocular internuclear ophthalmoplegia (WEMINO) with contraversive ocular tilt reaction has not been previously reported. A 71-year-old woman suddenly developed blurred vision. Examination revealed left internuclear ophthalmoplegia, left exotropia, right hypotropia, and rightward head tilt. Magnetic resonance imaging showed a tiny infarction at the area of the left medial longitudinal fasciculus in the upper pons. WEMINO with contraversive ocular tilt reaction may be caused by a paramedian pontine tegmental infarction that selectively involves the medial longitudinal fasciculus.