Clinical Case Database / Category: Case Based Discussion

Internuclear ophthalmoplegia and brain stem stroke

Publication details

Dr Rosaria Buccoliero, H Ward
Foundation Years Journal, volume 7, issue 7, p.26 (123Doc Education, London, July 2013)


The case is that of an 86 year old lady, Mrs. G, who presented to the stroke/ neurology unit complaining of diplopia, having attended Accident and Emergency. That morning she had awoken with 'a heavy feeling in her head', and as she had got out of bed to walk to the bathroom she noticed that she was unable to focus on things and was seeing double. She had been well the previous evening before going to bed.

Access the Clinical Cases Database

A subscription is required to read the full article. Please subscribe using one of the options below.

Foundation Years Clinical Cases Database£29.006 months
Add to cart
Foundation Years Clinical Cases Database£39.0012 months
Add to cart


Dr Rosaria Buccoliero (Corresponding author)

Department of Neurology
Harrogate District Foundation Trust

H Ward

Department of Neurology
Harrogate District Foundation Trust


1. Foundation Year Programme, Core curriculum - http://www.
2. The Nervous system. In: Thomas J, Monaghan T. Oxford handbook of clinical examination and procedural skills – Oxford: Oxford University Press,
2007, 279-363.
3. NICE guidance – Stroke quality standard - stroke-quality-standard-qs2
4. NICE guidance – Lipid modification -
5. Vision and other cranial nerves. In: Ginsberg, L. Neurology Lecture Notes – 9th edition – London : Blackwell, 2007, 17-34.
6. The Lancet neurology - Medial longitudinal fascicles http://www.thelancet. com/journals/lancet/article/PIIS0140-6736(03)12114-9/fulltext


Conflict Of Interest

The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (

Financial Statement

The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts ( The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

Animal & Human Rights

When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.