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 horizontal gaze to the right and a complete left ophthalmoplegia. The limitation of eye movement could not be overcome by the doll's head maneuver. Other signs included bilateral orbicularis oculi weakness and brisk deep tendon reflexes. Her condition gradually improved and two months following the onset of the illness she was symptom free.