De La Paz M A, Chung S M, McCrary J A
Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Boston.
J Clin Neuroophthalmol. 1992 Jun;12(2):116-20.
The most common cause of bilateral internuclear ophthalmoplegia is multiple sclerosis. Wernicke's encephalopathy has been reported as a cause of unilateral internuclear ophthalmoplegia but not of bilateral internuclear ophthalmoplegia. In this report, we present the case of a patient with a history of alcohol abuse and acute onset of bilateral internuclear ophthalmoplegia whose clinical course and diagnostic studies are most consistent with a diagnosis of Wernicke's encephalopathy.
双侧核间性眼肌麻痹最常见的病因是多发性硬化症。有报道称韦尼克脑病是单侧核间性眼肌麻痹的病因，但不是双侧核间性眼肌麻痹的病因。在本报告中，我们介绍了一例有酗酒史且急性起病的双侧核间性眼肌麻痹患者，其临床病程和诊断研究结果与韦尼克脑病的诊断最为相符。
