Two Cases of WEBINO(Wall-eyed Bilateral Internuclear Ophthalmoplegia) Syndrome

J Korean Neurol Assoc > Volume 14(2); 1996 > Article

Journal of the Korean Neurological Association 1996;14(2): 612-619.

WEBINO (Wall-eyed Bilateral Internuclear Ophthalmoplegia) 증후군 2예

김지수, 김호진, 윤창호, 이광호*, 노재규

서울대학교 의과대학 신경과학교실, 삼성의료원 신경과*

Two Cases of WEBINO(Wall-eyed Bilateral Internuclear Ophthalmoplegia) Syndrome

JS Kim, M,D., HJ Kim, M,D., CH Yun, M.D., KH Lee, M.D.*, JK Roh, M.D.

Department of neurology, seoul national university, Samsung medical center

Abstract

The syndrome of internuclear ophthalmoplegia (INO) comprises a group of clinical signs arising from a lesion of the medial longitudinal fasciculus. It is manifested by impaired adduction of one eye, and dissociated horizontal jerky nystagmus of the contralateral abducting eye. WEBINO syndrome refers to the condition of bilateral INO with exotropia in primary position. This condition was reported in the patients with tuberculous granuloma, multiple sclerosis and occlusive vascular disease. But the pathophysiology of WEBINO syndrome is controversial. We report 2 patients of WEBINO syndrome, one with midbrain infarction and the other with infarction in the pontine tegmentum. Key Words : WEBINO, Infarction