Bilateral internuclear ophthalmoplegia has been linked with various pathological conditions of the central nervous system (CNS), such as multiple sclerosis, stroke, tumours, and brainstem inflammatory processes. Herein the authors report a case of a 45-year-old female patient who presented with diplopia due to bilateral internuclear ophthalmoplegia, with no evidence of brainstem lesion in brain magnetic resonance imaging (MRI) and was diagnosed with primary Sjögren's syndrome.
ARTICLE HISTORY
Gangliocytomas are neoplasms of the central nervous system which are deriving from mature neuron cells. In the following case, we present the clinical, neuroimaging, and histopathological findings of a massive ganglion cell tumor involving the left cerebellar hemisphere with extension throughout the whole brainstem, including midbrain, pons, and medulla oblongata.
Somatotopic distribution of motor cortex and sensory fibers is theoretically fully understood. We present a case of stroke, mimicking peripheral palsy, with finger paralysis attributed to cortical lesion. The patient's brain MRI may be useful to further understand the somatotopic representation of fingers in precentral and postcentral gyrus.
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