TY - JOUR
T1 - Temporary divergence paralysis in viral meningitis
AU - Bakker, Stef L M
AU - Gan, Ivan M
PY - 2008/6
Y1 - 2008/6
N2 - 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.
AB - 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.
KW - Adult
KW - Brain Stem/physiopathology
KW - Cerebrospinal Fluid/virology
KW - Diplopia/physiopathology
KW - Encephalitis, Viral/complications
KW - Esotropia/physiopathology
KW - Eyeglasses
KW - Female
KW - Humans
KW - Magnetic Resonance Imaging
KW - Meningitis, Viral/complications
KW - Neural Pathways/physiopathology
KW - Ocular Motility Disorders/physiopathology
KW - Recovery of Function/physiology
U2 - 10.1097/WNO.0b013e3181782561
DO - 10.1097/WNO.0b013e3181782561
M3 - Letter
C2 - 18562842
VL - 28
SP - 111
EP - 113
IS - 2
ER -