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From the Departments of Ophthalmology (Drs. Slyman and Kline) and Neurology (Dr. Kline), University of Alabama School of Medicine, Birmingham, AL.
Complaining only of vertical diplopia, a 34-year-old woman had pupillary light-near dissociation, upward gaze paresis, convergence-retraction nystagmus, and skew deviation. Cranial computerized tomography excluded a space-occupying lesion. Additional history and examination established the diagnosis of clinically definite multiple sclerosis. Dorsal midbrain syndrome due to multiple sclerosis is rare.
Address correspondence and reprint requests to Dr. Kline, 1720 8th Avenue South, Binngham, AL 35233.
Accepted for publication April 21, 1980.
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