Medial Longitudinal Fasciculus Acute Ischemic Changes may be Missed During Imaging
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Case Report
P: 153-155
April 2018

Medial Longitudinal Fasciculus Acute Ischemic Changes may be Missed During Imaging

Bezmialem Science 2018;6(2):153-155
1. Department of Emergency Medicine, Bezmialem Vakif University School of Medicine, İstanbul, Turkey
2. Department of Neurology, Bezmialem Vakif University School of Medicine, İstanbul, Turkey
No information available.
No information available
Received Date: 01.11.2016
Accepted Date: 20.02.2017
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ABSTRACT

The medial longitudinal fasciculus (MLF) is a pair of crossed fibers of axons, on each side of the brainstem that carries information about the direction of eye movement. An ischemic stroke is the most common cause of MLF syndrome. We report a patient with unilateral partial oculomotor paresis associated with internuclear ophthalmoplegia, which is a dysfunction of the MLF in the pontine. A second diffusion-weighted magnetic resonance imaging (DW-MRI) showed a high-signal-intensity lesion in the brainstem. We would like to emphasize that detailed neurological physical examination and imaging control are essential aspects of clinical assessment for the diagnosis of MLF infarction because its detection based on imaging is challenging.

Keywords:
Partial oculomotor paresis
brainstem
MLF
MRI