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Year : 2022  |  Volume : 34  |  Issue : 1  |  Page : 68-70

Case of multiple sclerosis presenting as unilateral internuclear ophthalmoplegia

Department of Ophthalmology, Goa Medical College, Bambolim, Goa, India

Correspondence Address:
Dr. Aishwarya M Angadi
2-10-786/16 “Aishwarya Nilaya” Bejai Nodu Lane, Mangalore - 575 004, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/kjo.kjo_148_21

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A 30-year-old female presented with complaints of decreased vision and diplopia since 1 week along with headache and gait disturbances. Examination revealed medial restriction of ocular movements in the right with left abducting nystagmus suggestive of right-sided internuclear ophthalmoplegia and right-sided facial palsy. The patient was admitted under neurology as a suspected case of demyelinating disorder. Magnetic resonance imaging with gadolinium contrast revealed features suggestive of probably multiple sclerosis (MS). The patient was given 5 days of high-dose intravenous steroids following which the patient showed improvement and was discharged on multivitamins. Subsequent follow-up showed significant improvement in symptoms, visual acuity, and ocular movements. Hereby presenting a rare case of MS presenting as unilateral internuclear ophthalmoplegia.

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