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Images in Neurology
July 2015

Eight-and-a-Half Syndrome

Author Affiliations
  • 1Hospital Galdakao-Usansolo, Galdakao, Vizcaya, Spain

Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Neurol. 2015;72(7):830. doi:10.1001/jamaneurol.2015.0255

An 81-year-old patient was seen with sudden onset of ophthalmoplegia and unsteadiness. His medical record included hypertension, type 2 diabetes mellitus, and hypercholesterolemia. The neurological examination disclosed left internuclear ophthalmoplegia and horizontal left-sided gaze palsy, accompanied by left-sided peripheral facial palsy (Video). The physical examination findings were otherwise normal.

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