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Journal Français d'Ophtalmologie
Volume 37, n° 10
pages e157-e159 (décembre 2014)
Doi : 10.1016/j.jfo.2014.04.016
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Jerky seesaw nystagmus with internuclear ophthalmoplegia as the presenting finding in systemic lupus erythematosus
Le nystagmus à bascule avec ophtalmoplégie internucléaire comme le symptôme révélateur d’un lupus érythémateux disséminé
 

Figure 1




Figure 1 : 

Ocular motility examination revealed the right internuclear ophthalmoplegia and jerky seesaw nystagmus: adduction paralysis of the right eye with associated abducting nystagmus in the left eye (a, c) and jerk wave-form torsional-vertical nystagmus in both eyes (b).


Figure 2




Figure 2 : 

Multiple hyperintense lesions perpendicular to corpus callosum are seen in sagittal section T1-weighted MRI image (black arrow).


Figure 3




Figure 3 : 

Axial thin-section T2-weighted MRI image at presentation. A tiny lesion with high signal intensity is seen in the right pontine tegmentum (red circle).

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