Gaze Holding Abnormalities As an Inaugural Event in Multiple Sclerosis - A Case Report

•Ocular dysfunctions are frequently described in multiple sclerosis (MS).•Ocular dysfunctions frequently manifest as internuclear ophthalmoplegia.•Holding gaze failure is a rare symptom that has never been described in MS.•This case entails horizontal gaze holding defect as an initial presentation of MS.•This case highlights the anatomical structures implicated in gaze holding.