Skip to main content

Advertisement

SpringerLink
Log in

Myasthenia gravis initially presenting with pseudo-internuclear ophthalmoplegia

  • Case Report
  • Published:
Neurological Sciences Aims and scope Submit manuscript

Abstract

Myasthenia gravis (MG) can rarely be manifested with ocular motility disturbances, simulating internuclear ophthalmoplegia. Pseudo-internuclear ophthalmoplegia (PINO) may occur during the course of MG, however, the initial presentation of MG with PINO in rather unlikely. We herein describe the case of a male patient who developed PINO, as an initial manifestation of MG.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Glaser JS (1966) Myasthenic pseudo-internuclear ophthalmoplegia. Arch Ophthalmol 75:363–366

    PubMed  CAS  Google Scholar 

  2. Tilikete C, Pélisson D (2008) Ocular motor syndromes of the brainstem and cerebellum. Curr Opin Neurol 21(1):22–28

    Article  PubMed  Google Scholar 

  3. Atwal AJ, Smith BH, Dickenson ES (1976) Pseudo-internuclear ophthalmoplegia in polyneuritis. Arch Neurol 33:457

    PubMed  CAS  Google Scholar 

  4. Swick HM (1974) Pseudointernuclear ophthalmoplegia in acute idiopathic polyneuritis (Fisher’s syndrome). Am J Ophthalmol 98:602–608

    Google Scholar 

  5. Wilson WB (1985) Pseudo-internuclear ophthalmoplegia after surgical paresis of the medial rectus muscle. Am J Ophthalmol 99(6):737–738

    PubMed  CAS  Google Scholar 

  6. George J, Spokes EG (1984) Myasthenic pseudo-internuclear ophthalmoplegia due to penicillamine. J Neurol Neurosurg Psychiatry 47(9):1044

    Article  PubMed  CAS  Google Scholar 

  7. Feldon SE, Stark L, Lehman SL, Hoyt WF (1982) Oculomotor effects of intermittent conduction block in myasthenia gravis and Guillain-Barré syndrome. An oculographic study with computer simulations. Arch Neurol 39(8):497–503

    PubMed  CAS  Google Scholar 

Download references

Conflict of interest statement

We have no conflicts of interest. No funding source had a role in the preparation of this paper or in the decision to submit it for publication.

Author information

Authors and Affiliations

  1. Department of Neurology, “Saint Andrew’s” General Hospital of Patras, 26335, Patras, Greece

    Andreas A. Argyriou, Panagiotis Karanasios, Alexandra Makridou & Nicolaos Makris

  2. Department of Medicine, “Saint Andrew’s” General Hospital of Patras, Patras, Greece

    Charalabos Potsios, Vassilios Doukas & Irene Koukopoulou

Authors
  1. Andreas A. Argyriou
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Panagiotis Karanasios
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Charalabos Potsios
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Alexandra Makridou
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Vassilios Doukas
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Irene Koukopoulou
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Nicolaos Makris
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Andreas A. Argyriou.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Argyriou, A.A., Karanasios, P., Potsios, C. et al. Myasthenia gravis initially presenting with pseudo-internuclear ophthalmoplegia. Neurol Sci 30, 387–388 (2009). https://doi.org/10.1007/s10072-009-0106-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10072-009-0106-y

Keywords

Search

Navigation