Gregory M. Notz, DO

PO BOX 64313


Internuclear Ophthalmoplegia

September 10, 2009

For a month, an obese 50-year-old woman with type 2 diabetes mellitus, hypercholesterolemia, and hypertension had blurry vision in both eyes. During this time, she also had ataxia and right-sided numbness. For the past 2 days, she had had horizontal, binocular diplopia with right gaze.