SHE COULD NOT LOOK TO EITHER SIDE

A young woman presented with the recent onset of an inability to move the eyes on a horizontal plane. Examination revealed limited horizonta l gaze to the right and a complete left ophthalmoplegia. The limitatio n of eye movement could not be overcome by the doll's head maneuver. O ther signs included bilateral orbicularis oculi weakness and brisk dee p tendon reflexes. Her condition gradually improved and two months fol lowing the onset of the illness she was symptom free.