Jerky seesaw nystagmus with internuclear ophthalmoplegia as the presenting finding in systemic lupus erythematosus.

Content Provider	Semantic Scholar
Author	Cakir, Akin Duzgun, Eyup Demir, Semra Aydin, Abdullah
Copyright Year	2014
Abstract	Internuclear ophthalmoplegia (INO) is characterized by adduction paresis of the ipsilesional eye and dissociated abducting nystagmus of the contralesional eye on attempted gaze to the contralesional side. It is caused by the lesions involving the medial longitudinal fasciculus (MLF) including arterial infarcts, demyelinating diseases, trauma and inflammation [1]. Oculomotor abnormalities such as up-beating of the ipsilesional eye, abnormal head position and rarely seesaw or hemi-seesaw nystagmus may be also associated with INO [2—4]. Seesaw nystagmus is a nystagmus subtype characterized by the combination of cyclic conjugated torsional eye movements and simultaneous vertical eye movements; as alternating elevation and intorsion of one eye and simultaneous depression and extorsion of the other eye. It has been reported in the literature with parasellar lesions, mesodiencephalic patologies, brainstem infarcts or haemorrages, severe head trauma, multiple sclerosis (MS), cranial radiotheraphy, intrathecal methotrexat and congenital achiasma [5]. INO has been reported rarely in association with systemic lupus erythematosus (SLE). However, there is no case presented with INO and seesaw nistagmus as the first manifestation of SLE, to the best of our knowledge. Herein, we report a case with INO and seesaw nistagmus as the presenting finding of SLE.
File Format	PDF HTM / HTML
DOI	10.1016/j.jfo.2014.04.016
PubMed reference number	25455550
Journal	Medline
Volume Number	37
Issue Number	10
Alternate Webpage(s)	http://www.em-consulte.com/showarticlefile/943225/main.pdf
Alternate Webpage(s)	https://doi.org/10.1016/j.jfo.2014.04.016
Journal	Journal francais d'ophtalmologie
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article