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Magnetic resonance findings in a patient with internuclear ophthalmoplegia. Neuroradiological-clinical correlation.

Julia Alexander, Maurício Castillo, James C. Hoffman

Abstract

A 49-year-old female presented with symptoms compatible with internuclear ophthalmoplegia. Magnetic resonance using T2-weighted images showed an eccentric area of high signal intensity in the mid pons corresponding to the right medial longitudinal fasciculus. Magnetic resonance is the method of choice when internuclear ophthalmoplegia is suspected. The findings should be differentiated from the normal central hyperintensity called the "pseudo MLF hyperintensity."

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Available abstract

Key concepts: Internuclear ophthalmoplegia, Medial longitudinal fasciculus, Magnetic resonance imaging, Pons, Hyperintensity, Medicine, Fasciculus, Nuclear magnetic resonance