Clinical Case Database / Category: Case Based Discussion

Internuclear ophthalmoplegia and brain stem stroke

Publication details

Dr Rosaria Buccoliero, H Ward
Foundation Years Journal, volume 7, issue 7, p.26 (123Doc Education, London, July 2013)

Abstract

The case is that of an 86 year old lady, Mrs. G, who presented to the stroke/ neurology unit complaining of diplopia, having attended Accident and Emergency. That morning she had awoken with 'a heavy feeling in her head', and as she had got out of bed to walk to the bathroom she noticed that she was unable to focus on things and was seeing double. She had been well the previous evening before going to bed.

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Authors

Dr Rosaria Buccoliero (Corresponding author)

Department of Neurology
Harrogate District Foundation Trust
HG2 7SX
rosaria.buccoliero@hdft.nhs.uk

H Ward

Department of Neurology
Harrogate District Foundation Trust
Harrogate

References

1. Foundation Year Programme, Core curriculum - http://www. foundationprogramme.nhs.uk/pages/foundation-doctors
2. The Nervous system. In: Thomas J, Monaghan T. Oxford handbook of clinical examination and procedural skills – Oxford: Oxford University Press,
2007, 279-363.
3. NICE guidance – Stroke quality standard - http://publications.nice.org.uk/ stroke-quality-standard-qs2
4. NICE guidance – Lipid modification - http://publications.nice.org.uk/lipidmodification-
cg67
5. Vision and other cranial nerves. In: Ginsberg, L. Neurology Lecture Notes – 9th edition – London : Blackwell, 2007, 17-34.
6. The Lancet neurology - Medial longitudinal fascicles http://www.thelancet. com/journals/lancet/article/PIIS0140-6736(03)12114-9/fulltext

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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