Title |
Temporary Divergence Paralysis in Viral Meningitis |
Creator |
Bakker, SL; Gan, IM |
Affiliation |
Department of Neurology, St. Franciscus General Hospital, Rotterdam, The Netherlands. s.bakker@sfg.nl |
Abstract |
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. |
Subject |
Adult; Brain Stem, physiopathology; Brain Stem, virology; Cerebrospinal Fluid, virology; Diplopia, physiopathology; Diplopia, virology; Encephalitis, Viral, complications; Esotropia, physiopathology; Esotropia, virology; Eyeglasses; Female; Humans; Magnetic Resonance Imaging; Meningitis, Viral, complications; Neural Pathways, physiopathology; Neural Pathways, virology; Ocular Motility Disorders, physiopathology; Ocular Motility Disorders, virology; Recovery of Function, physiology |
Date |
2008-06 |
Format |
application/pdf |
Publication Type |
Journal Article |
Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
Publisher |
Lippincott, Williams & Wilkins |
Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
Rights Management |
© North American Neuro-Ophthalmology Society |
Setname |
ehsl_novel_jno |
ID |
225687 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6r246hr/225687 |