School of Medicine; Department of Emergency Medicine
Diagnosis | Emergency Medicine | Eye Diseases | Immune System Diseases | Nervous System Diseases
A 26‐year‐old female with no significant past medical history presented to the emergency department with 1‐week history of blurred vision and difficulty with depth perception, most pronounced when looking to the left or right while driving. She is a teacher and remarked that her students noted her eyes were “moving funny” when she looked in either direction. On examination, when the patient gazed to the right, extraocular movements showed an inability to adduct the left eye past the midline and delayed abduction of the right eye. Additionally, with gaze to the left, extraocular movements showed inability to adduct the right eye past the midline and delayed abduction of the left eye.
bilateral intranuclear ophthalmoplegia, multiple sclerosis
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© 2021 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of the American College of Emergency Physicians. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
DOI of Published Version
DiTullio C, Galletta G. Young woman with blurry vision. J Am Coll Emerg Physicians Open. 2021 Jan 21;2(1):e12360. doi: 10.1002/emp2.12360. PMID: 33521791; PMCID: PMC7819349. Link to article on publisher's site
Journal of the American College of Emergency Physicians open
DiTullio C, Galletta G. (2021). Young woman with blurry vision. Open Access Publications by UMMS Authors. https://doi.org/10.1002/emp2.12360. Retrieved from https://escholarship.umassmed.edu/oapubs/4544
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This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.