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Original Article

Bilateral internuclear ophthalmoplegia as an initial sign of metastatic breast carcinoma

, , , , , & show all
Pages 181-185 | Published online: 08 Jul 2009
 

Abstract

A 43-year-old woman presented with bilateral internuclear ophthalmoplegia (BINO) and then developed bilateral ptosis. Neuropathologic examination confirmed a metastatic breast carcinoma situated in the midline midbrain at the level of the aquaeductus sylvii. To the authors' knowledge, this is the first case report of BINO as an initial sign due to solitary metastasis of breast carcinoma.

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