Case report of a patient with ‘one-and-a-half plus syndrome: nine syndrome’

Abstract This case talks about ‘One-and-a-half plus syndrome’, a clinical syndrome affecting binocular vision and facial nerve. One-and-a-half plus syndrome is a less known clinical syndrome which constitutes of a conjugate horizontal gaze palsy in one direction and an internuclear ophthalmoplegia i...

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Bibliographic Details
Published in:Oxford Medical Case Reports 2018-01, Vol.2018 (1), p.omx085
Main Authors: Uthman, Muhammad, Kamran, Mehreen
Format: Article
Language:English
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Case Report
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Summary:Abstract This case talks about ‘One-and-a-half plus syndrome’, a clinical syndrome affecting binocular vision and facial nerve. One-and-a-half plus syndrome is a less known clinical syndrome which constitutes of a conjugate horizontal gaze palsy in one direction and an internuclear ophthalmoplegia in the other direction. Despite the known association between ischemia, autoimmune disorders, multiple sclerosis, with mono neuritis multiplex resulting in extra ocular movement disorder, one-and-a-half plus syndrome is rarely considered in the differential diagnosis of eye ball movement disorders, as many clinicians are not able to diagnose such a case as ‘ the eyes don’t see what the mind doesn’t know’. Our report aims to raise awareness about connective tissue disorders presenting as neuro-ophthalmological syndrome, as early recognition can accelerate diagnosis and decrease the morbidity.
ISSN:2053-8855
2053-8855
DOI:10.1093/omcr/omx085