Myasthenia Gravis Presenting as Lutz Posterior Internuclear Ophthalmoplegia

Yuxi Zheng; Patrick J Lavin; Caroline W Vargason; Sean P Donahue

doi:10.1080/01658107.2018.1489859

Myasthenia Gravis Presenting as Lutz Posterior Internuclear Ophthalmoplegia

Neuroophthalmology. 2018 Jul 27;43(4):250-251. doi: 10.1080/01658107.2018.1489859. eCollection 2019 Aug.

Authors

Yuxi Zheng¹, Patrick J Lavin², Caroline W Vargason³, Sean P Donahue⁴

Affiliations

¹ Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
² Ophthalmology & Visual Sciences, Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
³ Ophthalmology, Cincinnati Eye Institute, Cincinnati, Ohio, USA.
⁴ Ophthalmology & Visual Sciences, Neurology, and Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

Abstract

Myasthenia gravis can mimic central neurological disorders and should be considered in the differential diagnosis of any form of pupil-sparing ophthalmoplegia. We report an unusual manifestation of myasthenia gravis presenting as bilateral internuclear ophthalmoplegia (INO) of abduction, sometimes referred to as Lutz posterior INO (or reverse INO).

Keywords: Lutz posterior INO; Pseudo INO of abduction; myasthenia gravis.

Publication types

Case Reports

Grants and funding

This work was supported by an unrestricted grant to the Department of Ophthalmology and Visual Sciences from Research to Prevent Blindness, NY, NY, and by Tennessee Lions Charities.