Temporary divergence paralysis in viral meningitis.

Autor: Bakker SL; Department of Neurology, St. Franciscus General Hospital, Rotterdam, The Netherlands. s.bakker@sfg.nl, Gan IM
Jazyk: angličtina
Zdroj: Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society [J Neuroophthalmol] 2008 Jun; Vol. 28 (2), pp. 111-3.
DOI: 10.1097/WNO.0b013e3181782561
Abstrakt: A 43-year-old woman who reported diplopia and headache was found to have comitant esotropia at distance fixation and normal alignment at reading distance (divergence paralysis). Eye movement, including abduction, was normal as was the rest of the neurologic examination. Brain MRI was normal. Lumbar puncture showed an elevated opening pressure and a cerebrospinal fluid formula consistent with viral meningitis. The patient was treated with intravenous fluids and analgesics and with a temporary prism to alleviate diplopia. Within 3 weeks, she had fully recovered. This is the first report of divergence palsy in viral meningitis.
Databáze: MEDLINE