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Type: Artigo de periódico
Title: Bilateral internuclear ophthalmoplegia and clivus fracture following head injury - Case report
Author: Bonilha, L
Fernandes, YB
Mattos, JPD
Borges, WAA
Borges, G
Abstract: Internuclear ophthalmoplegia is a remarkable finding, particularly in patients victims of head injury. The medial longitudinal fasciculus, which is believed to be lesioned in cases of internuclear ophthalmoplegia, has an unique brain stem position and the mechanism involved in brain stem contusions implies a maximal intensity of shearing forces on the skull base. We describe a very rare association of bilateral ophthalmoplegia and clivus fracture following head injury; without further neurological signs. The patient history; his physical examination and the image investigation provide additional evidence to some of the mechanisms of injury proposed to explain post-traumatic internuclear ophthalmoplegia.
Subject: head injury
internuclear ophthalmoplegia
skull base
clivus fracture
Country: Brasil
Editor: Assoc Arquivos De Neuro- Psiquiatria
Rights: aberto
Identifier DOI: 10.1590/S0004-282X2002000400023
Date Issue: 2002
Appears in Collections:Artigos e Materiais de Revistas Científicas - Unicamp

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