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.
Bocos-Portillo J, Ojeda JR, Gomez-Beldarrain M, Vazquez-Picon R, Garcia-Monco JC. Eight-and-a-Half Syndrome. JAMA Neurol. 2015;72(7):830. doi:10.1001/jamaneurol.2015.0255