Cryptococcal meningitis and internal ophthalmoplegia
Autor: | Robert L. Lesser, Hector Leon, Norman J. Siegel, Roger M. Simon |
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Rok vydání: | 1979 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent education Azathioprine Prednisone Amphotericin B medicine Humans Lupus Erythematosus Systemic Meningitis Papilledema Child Internal ophthalmoplegia Aged Palsy Ophthalmoplegia business.industry Bilateral lateral rectus Cryptococcosis Middle Aged eye diseases Surgery Ophthalmology Child Preschool Female medicine.symptom business Cryptococcal meningitis medicine.drug |
Zdroj: | American journal of ophthalmology. 87(5) |
ISSN: | 0002-9394 |
Popis: | A 17-year old girl received prednisone and azathioprine for the treatment of systemic lupus erythematosus. She developed a fever and hallucinations 18 months later; cryptococcal meningitis was diagnosed. An internal ophthalmoplegia with loss of accommodation and dilation of the pupils developed together with bilateral lateral rectus palsy. Treatment with intravenous amphotericin resulted in disappearance of papilledema, muscle palsy, and internal ophthalmoplegia. We believe that the internal ophthalmoplegia was secondary to involvement of the accommodative and pupillary fibers of both third nerves at the base of the brain. |
Databáze: | OpenAIRE |
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