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Neurology 2003;61:848-850
© 2003 American Academy of Neurology
Brief Communications

Accuracy of clinical detection of INO in MS

Corroboration with quantitative infrared oculography

T. C. Frohman, BA, E. M. Frohman, MD PhD, P. O’Suilleabhain, MD, A. Salter, BS, R. B. Dewey, Jr., MD, N. Hogan, MD PhD, S. Galetta, MD, A. G. Lee, MD, D. Straumann, MD, J. Noseworthy, MD, D. Zee, MD, J. Corbett, MD, J. Corboy, MD, V. M. Rivera, MD and P. D. Kramer, MD

From the Departments of Neurology (Drs. Frohman, O’Suilleabhain, Dewey, and Hogan, T.C. Frohman and A. Salter) and Ophthalmology (Drs. Frohman and Hogan), University of Texas Southwestern Medical Center at Dallas, and Department of Neurology and the Mexican study group (Dr. Rivera), Baylor College of Medicine, Houston; Department of Neurology (Dr. Galetta), University of Pennsylvania, Philadelphia; Departments of Ophthalmology, Neurology, and Neurosurgery (Dr. Lee), University of Iowa, Ames; Department of Neurology (Dr. Noseworthy), Mayo Clinic, Rochester, MN; Department of Neurology (Dr. Zee), Johns Hopkins Hospital, Baltimore, MD; Department of Neurology (Dr. Corbett), University of Mississippi, Jackson; Department of Neurology (Dr. Corboy), University of Colorado, Boulder; New Jersey Neuroscience Institute (Dr. Kramer), Seton Hall University, South Orange, NJ; and Department of Neurology (Dr. Straumann), Zurich University Hospital, Switzerland.

Address correspondence and reprint requests to Dr. E.M. Frohman, Department of Neurology, University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd., Dallas, TX 75235; e-mail:elliot.frohman{at}utsouthwestern.edu

The authors compared the accuracy of clinical detection (by 279 physician observers) of internuclear ophthalmoparesis (INO) with that of quantitative infrared oculography. For the patients with mild adduction slowing, INO was not identified by 71%. Intermediate dysconjugacy was not detected by 25% of the evaluators. In the most severe cases, INO was not identified by only 6%. Oculographic techniques significantly enhance the precision of INO detection compared to the clinical exam.




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