Right Internuclear Ophthalmoplegia following a Stroke
MF is a 58-year-old male admitted to the hospital with symptoms of imbalance, dizziness, diplopia, nausea, and vomiting. At admission, his blood pressure was 190/101 mm Hg. The patient reported horizontal and vertical separation of objects both at a distance and within a near field. The diplopia was more pronounced with left gaze. Prior to arriving at the hospital he experienced tingling on the left side of his face, around his mouth, and in his left hand distally. Previous medical history included hypertension, insulin-dependent diabetes, and hyperlipidemia. Magnetic resonance imaging (MRI) revealed a small infarct in the posterior pons on the right side with atherosclerotic disease throughout the posterior circulation. Once he was deemed stable, he was transferred to an acute care facility for rehabilitation and subsequently discharged.