Acute Bilateral Oculomotor Nerve Palsy in an Adult Patient with Neisseria meningitidis.
Acute Disease
Aged
Drug Therapy, Combination
Female
Glucocorticoids
/ therapeutic use
Headache
/ diagnostic imaging
Humans
Immunoglobulins, Intravenous
/ therapeutic use
Magnetic Resonance Imaging
Meningitis, Meningococcal
/ complications
Methylprednisolone
/ therapeutic use
Oculomotor Nerve
/ diagnostic imaging
Oculomotor Nerve Diseases
/ diagnostic imaging
Neisseria meningitidis
bilateral oculomotor nerve palsy
magnetic resonance imaging
Journal
Internal medicine (Tokyo, Japan)
ISSN: 1349-7235
Titre abrégé: Intern Med
Pays: Japan
ID NLM: 9204241
Informations de publication
Date de publication:
01 Jun 2019
01 Jun 2019
Historique:
pubmed:
5
2
2019
medline:
20
8
2019
entrez:
5
2
2019
Statut:
ppublish
Résumé
A 69-year-old woman was admitted to our hospital with a fever, dizziness, and headache caused by Neisseria meningitidis. After ceftriaxone was administered, she suddenly developed bilateral oculomotor nerve palsy. Intra-orbital magnetic resonance imaging using appropriate sequences revealed that her bilateral third intracranial nerves were enlarged and enhanced. She achieved complete recovery by two months after additional short-term treatment with intravenous immunoglobulin and methylprednisolone. Although intracranial nerve disorders that result from bacterial meningitis are most frequently reported in children, it is noteworthy that it can also cause focal intracranial nerve inflammation with ophthalmoparesis in N. meningitidis infection in adults.
Identifiants
pubmed: 30713317
doi: 10.2169/internalmedicine.2098-18
pmc: PMC6599925
doi:
Substances chimiques
Glucocorticoids
0
Immunoglobulins, Intravenous
0
Methylprednisolone
X4W7ZR7023
Types de publication
Case Reports
Journal Article
Langues
eng
Pagination
1639-1642Références
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