Internuclear Ophthalmoplegia (INO) of Abduction, also known as Lutz Posterior INO, is a rare and distinctive variant of INO that affects the coordination of eye movements during lateral gaze, particularly in the abduction direction.
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10.1136/practneurol-2016-001428. A brainstem lesion of any type that involves the medial longitudinal fasciculus (MLF) can cause internuclear ophthalmoplegia (INO). This primarily affects conjugate horizontal gaze and classically manifests as impaired adduction ipsilateral to the lesion and abduction nystagmus contralateral to the lesion.
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An internuclear ophthalmoplegia (INO) follows disruption of the medial longitudinal fasciculus (MLF). In a right INO, there is impairment of adduction of the right eye. The defect may be partial or complete, and it is present whether the eye movements are volitional or reflex. If convergence is preserved, it can be assumed that the MLF lesion
Internuclear ophthalmoplegia (INO) occurs due to the deterioration of the relationship between the nuclei of the oculomotor nerves in the lesion of the medial longitudinal fascicle (MLF), which
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