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Acute bilateral ophthalmoplegia

60 cases

Department of Neurology, Los Angeles County-University of Southern California Medical Center, Los Angeles, CA.

Of 60 patients with acute bilateral ophthalmoparesis, the cause was within the brainstem in 18 (pretectal infarct, phenytoin toxicity, and Wernicke's syndrome), in cranial nerves in 26 (Guillain-Barré or Fisher syndrome, tuberculous meningitis), within the cavernous sinuses in 8 (tumors or infection), and at the myoneural junction in 8 (myasthenia or botulism).

Address correspondence and reprint requests to Dr. Keane, 1200 North State Street, Los Angeles, CA 90033.

Accepted for publication June 6, 1985.

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