Temporary divergence paralysis in viral meningitis

Stef L M Bakker, Ivan M Gan

    Research output: Contribution to journalLetterpeer-review


    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.

    Original languageEnglish
    Pages (from-to)111-3
    Number of pages3
    JournalJournal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
    Issue number2
    Publication statusPublished - Jun 2008


    • Adult
    • Brain Stem/physiopathology
    • Cerebrospinal Fluid/virology
    • Diplopia/physiopathology
    • Encephalitis, Viral/complications
    • Esotropia/physiopathology
    • Eyeglasses
    • Female
    • Humans
    • Magnetic Resonance Imaging
    • Meningitis, Viral/complications
    • Neural Pathways/physiopathology
    • Ocular Motility Disorders/physiopathology
    • Recovery of Function/physiology


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