Internuclear Ophthalmoplegia Secondary to Cocaine Abuse

Purpose. To report a case of internuclear ophthalmoplegia (INO) caused by cocaine. Method. We report a case of a 54-year-old female who presented with a left INO three days after snorting cocaine, and we review the literature. Results. MRI of the brain demonstrated several small abnormal foci in the...

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Main Authors: Richard L. Rabin, Azeem Wasay, Nicolas Biro, Marcelle Morcos
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2017/2379697
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author Richard L. Rabin
Azeem Wasay
Nicolas Biro
Marcelle Morcos
author_facet Richard L. Rabin
Azeem Wasay
Nicolas Biro
Marcelle Morcos
author_sort Richard L. Rabin
collection DOAJ
description Purpose. To report a case of internuclear ophthalmoplegia (INO) caused by cocaine. Method. We report a case of a 54-year-old female who presented with a left INO three days after snorting cocaine, and we review the literature. Results. MRI of the brain demonstrated several small abnormal foci in the pons on FLAIR and diffusion weighted imaging consistent with ischemic infarction. The patient’s symptoms remained stable throughout her hospitalization. She was sent to a rehabilitation facility and was lost to follow-up. Conclusion. In cases of extraocular movement abnormalities, it is important to inquire about recreational drug use.
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series Case Reports in Ophthalmological Medicine
spelling doaj-art-9d2155012219436c916c90c1f7a598012025-02-03T06:00:46ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302017-01-01201710.1155/2017/23796972379697Internuclear Ophthalmoplegia Secondary to Cocaine AbuseRichard L. Rabin0Azeem Wasay1Nicolas Biro2Marcelle Morcos3Department of Ophthalmology, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554, USALincoln Medical and Mental Health Center, 234 E. 149th St., Bronx, NY 10451, USANeuro-Ophthalmology, Department of Ophthalmology, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554, USADepartment of Ophthalmology, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554, USAPurpose. To report a case of internuclear ophthalmoplegia (INO) caused by cocaine. Method. We report a case of a 54-year-old female who presented with a left INO three days after snorting cocaine, and we review the literature. Results. MRI of the brain demonstrated several small abnormal foci in the pons on FLAIR and diffusion weighted imaging consistent with ischemic infarction. The patient’s symptoms remained stable throughout her hospitalization. She was sent to a rehabilitation facility and was lost to follow-up. Conclusion. In cases of extraocular movement abnormalities, it is important to inquire about recreational drug use.http://dx.doi.org/10.1155/2017/2379697
spellingShingle Richard L. Rabin
Azeem Wasay
Nicolas Biro
Marcelle Morcos
Internuclear Ophthalmoplegia Secondary to Cocaine Abuse
Case Reports in Ophthalmological Medicine
title Internuclear Ophthalmoplegia Secondary to Cocaine Abuse
title_full Internuclear Ophthalmoplegia Secondary to Cocaine Abuse
title_fullStr Internuclear Ophthalmoplegia Secondary to Cocaine Abuse
title_full_unstemmed Internuclear Ophthalmoplegia Secondary to Cocaine Abuse
title_short Internuclear Ophthalmoplegia Secondary to Cocaine Abuse
title_sort internuclear ophthalmoplegia secondary to cocaine abuse
url http://dx.doi.org/10.1155/2017/2379697
work_keys_str_mv AT richardlrabin internuclearophthalmoplegiasecondarytococaineabuse
AT azeemwasay internuclearophthalmoplegiasecondarytococaineabuse
AT nicolasbiro internuclearophthalmoplegiasecondarytococaineabuse
AT marcellemorcos internuclearophthalmoplegiasecondarytococaineabuse