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. 1977 Mar;61(3):233–239. doi: 10.1136/bjo.61.3.233

Experimental internuclear ophthalmoplegia.

R M Burde, R A Lehman, G Roper-Hall, J Brooks, J L Keltner
PMCID: PMC1042922  PMID: 403929

Abstract

A midline experimental lesion separating the medial longitudinal fasciculi at and below the level of the abducens nuclei without damaging either fasciculus at the level of the nuclei has produced defects of ocular motility resembling those of clinical internuclear ophthalmoplegia. Electromyographic recordings during lateral gaze demonstrate: (1) lack of inhibition of the lateral rectus muscle in the adducting eye, (2) delayed inhibition of the medial rectus muscle in the abducting eye, and (3) occasional evidence of excitation of the medial rectus muscle of the abducting eye probably associated with pupillary constriction. The presumed physiologic mechanisms involved in conjugate gaze movements are discussed in the light of the experimental findings.

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Selected References

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  1. Burde R. M., Stroud M. H., Roper-Hall G., Wirth F. P., O'Leary J. L. Ocular motor dysfunction in total and hemicerebellectomized monkeys. Br J Ophthalmol. 1975 Oct;59(10):560–565. doi: 10.1136/bjo.59.10.560. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. CARPENTER M. B., McMASTERS R. E. Disturbances of conjugate horizontal eye movements in the monkey. II. Physiological effects and anatomical degeneration resulting from lesions in the medical longitudinal fasciculus. Arch Neurol. 1963 Apr;8:347–368. doi: 10.1001/archneur.1963.00460040017001. [DOI] [PubMed] [Google Scholar]
  3. COGAN D. G., KUBIK C. S., SMITH W. L. Unilateral internuclear ophthalmoplegia; report of 8 clinical cases with one postmortem study. AMA Arch Ophthalmol. 1950 Dec;44(6):783–796. [PubMed] [Google Scholar]
  4. Carpenter M. B., Strominger N. L. The medial longitudinal fasciculus and disturbances of conjugate horizontal eye movements in the monkey. J Comp Neurol. 1965 Aug;125(1):41–65. doi: 10.1002/cne.901250106. [DOI] [PubMed] [Google Scholar]
  5. Loeffler J. D., Hoyt W. F., Slatt B. Motor excitation and inhibition in internuclear palsy. An electromyographic study. Arch Neurol. 1966 Dec;15(6):664–671. doi: 10.1001/archneur.1966.00470180104012. [DOI] [PubMed] [Google Scholar]
  6. MILLER J. E. The electromyography of vergence movement. Arch Ophthalmol. 1959 Nov;62:790–794. doi: 10.1001/archopht.1959.04220050052009. [DOI] [PubMed] [Google Scholar]
  7. McMasters R. E., Weiss A. H., Carpenter M. B. Vestibular projections to the nuclei of the extraocular muscles. Degeneration resulting from discrete partial lesions of the vestibular nuclei in the monkey. Am J Anat. 1966 Jan;118(1):163–194. doi: 10.1002/aja.1001180109. [DOI] [PubMed] [Google Scholar]
  8. Pola J., Robinson D. A. An explanation of eye movements seen in internuclear ophthalmoplegia. Arch Neurol. 1976 Jun;33(6):447–452. doi: 10.1001/archneur.1976.00500060053011. [DOI] [PubMed] [Google Scholar]
  9. Stroud M. H., Newman N. M., Keltner J. L., Gay A. J. Abducting nystagmus in the medial longitudinal fasciculus (MLF) syndrome- internuclear ophthalmoplegia (INO). Arch Ophthalmol. 1974 Jul;92(1):2–5. doi: 10.1001/archopht.1974.01010010006002. [DOI] [PubMed] [Google Scholar]

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