lunes, julio 27, 2009

Oftalmoplejía internuclear bilateral


Es una alteracion de la motilidad ocular producida en las lesiones de la cintilla longitudinal posterior que liga los nucleos de los pares III de un lado y del VI par del lado opuesto. Es una lesion muy caracteristica de la esclerosis multiple pero tambien puede observarse en las lesiones vasculares troncoencefálicas (como en este caso) y en otras circunstancias.En estas imagenes podemos ver como es imposible la aduccion del ojo contralateral cuando se le dice al pacinte que mire a uno y otro lado.

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