Cogan’s anterior internuclear ophthalmoplegia in young Ethiopian: A case report and review of literature
Introduction: Lesions in medial longitudinal fasciculus (MLF) produce internuclear ophthalmoplegia (INO) with characteristic horizontal gaze abnormality. Here, the author reports a rare clinical spectrum of internuclear ophthalmoplegia called Cogan’s anterior internuclear ophthalmoplegia in young Et...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2014-12-01
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| Series: | Alexandria Journal of Medicine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2090506814000566 |
| _version_ | 1818325403096317952 |
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| author | Yeshigeta Gelaw |
| author_facet | Yeshigeta Gelaw |
| author_sort | Yeshigeta Gelaw |
| collection | DOAJ |
| description | Introduction: Lesions in medial longitudinal fasciculus (MLF) produce internuclear ophthalmoplegia (INO) with characteristic horizontal gaze abnormality. Here, the author reports a rare clinical spectrum of internuclear ophthalmoplegia called Cogan’s anterior internuclear ophthalmoplegia in young Ethiopian suspected to have multiple sclerosis. To the best of the author’s knowledge, this is the first report in non-white population near the equator.
Case presentation: A 19-year-old female Ethiopian patient presented with bilateral internuclear ophthalmoplegia. Attempted convergence was abnormal. The patient regained normal ocular mobility after six months of follow-up.
Conclusion: Isolated reversible internuclear ophthalmoplegia in a previously healthy young patient could be an initial manifestation of a serious illness like multiple sclerosis. Though the incidence of multiple sclerosis in non-white population near the equator is low, high index of suspicion and close follow up are warranted. |
| first_indexed | 2024-12-13T11:43:55Z |
| format | Article |
| id | doaj.art-e88956062c5c4dc2ab3eeb0fb73c1488 |
| institution | Directory Open Access Journal |
| issn | 2090-5068 |
| language | English |
| last_indexed | 2024-12-13T11:43:55Z |
| publishDate | 2014-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Alexandria Journal of Medicine |
| spelling | doaj.art-e88956062c5c4dc2ab3eeb0fb73c14882022-12-21T23:47:34ZengTaylor & Francis GroupAlexandria Journal of Medicine2090-50682014-12-0150437337610.1016/j.ajme.2014.05.006Cogan’s anterior internuclear ophthalmoplegia in young Ethiopian: A case report and review of literatureYeshigeta GelawIntroduction: Lesions in medial longitudinal fasciculus (MLF) produce internuclear ophthalmoplegia (INO) with characteristic horizontal gaze abnormality. Here, the author reports a rare clinical spectrum of internuclear ophthalmoplegia called Cogan’s anterior internuclear ophthalmoplegia in young Ethiopian suspected to have multiple sclerosis. To the best of the author’s knowledge, this is the first report in non-white population near the equator. Case presentation: A 19-year-old female Ethiopian patient presented with bilateral internuclear ophthalmoplegia. Attempted convergence was abnormal. The patient regained normal ocular mobility after six months of follow-up. Conclusion: Isolated reversible internuclear ophthalmoplegia in a previously healthy young patient could be an initial manifestation of a serious illness like multiple sclerosis. Though the incidence of multiple sclerosis in non-white population near the equator is low, high index of suspicion and close follow up are warranted.http://www.sciencedirect.com/science/article/pii/S2090506814000566Medial longitudinal fasciculus lesionInternuclear ophthalmoplegiaHorizontal gaze abnormalityMultiple sclerosis |
| spellingShingle | Yeshigeta Gelaw Cogan’s anterior internuclear ophthalmoplegia in young Ethiopian: A case report and review of literature Alexandria Journal of Medicine Medial longitudinal fasciculus lesion Internuclear ophthalmoplegia Horizontal gaze abnormality Multiple sclerosis |
| title | Cogan’s anterior internuclear ophthalmoplegia in young Ethiopian: A case report and review of literature |
| title_full | Cogan’s anterior internuclear ophthalmoplegia in young Ethiopian: A case report and review of literature |
| title_fullStr | Cogan’s anterior internuclear ophthalmoplegia in young Ethiopian: A case report and review of literature |
| title_full_unstemmed | Cogan’s anterior internuclear ophthalmoplegia in young Ethiopian: A case report and review of literature |
| title_short | Cogan’s anterior internuclear ophthalmoplegia in young Ethiopian: A case report and review of literature |
| title_sort | cogan s anterior internuclear ophthalmoplegia in young ethiopian a case report and review of literature |
| topic | Medial longitudinal fasciculus lesion Internuclear ophthalmoplegia Horizontal gaze abnormality Multiple sclerosis |
| url | http://www.sciencedirect.com/science/article/pii/S2090506814000566 |
| work_keys_str_mv | AT yeshigetagelaw cogansanteriorinternuclearophthalmoplegiainyoungethiopianacasereportandreviewofliterature |