Medial longitudinal fasciculus infarct

Case contributed by Frank Gaillard
Diagnosis almost certain


Left internuclear ophthalmoplegia.

Patient Data

Age: 60 years
Gender: Female

Diffusion restriction of the left medial longitudinal fasciculus (MLF) in the midbrain with associated T2 hyperintensity. 

  • Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Case Discussion

The patient presented with a left internuclear ophthalmoplegia. MRI demonstrates restriction (infarction) of her medial longitudinal fasciculus.

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