Neurosyphilis masquerading as oculomotor nerve palsy in a healthy middle-aged man: Case report and review of the literature.
CNS infections
Cranial nerve palsy
Neurology
Neuroradiology
Neurosyphilis
Oculomotor nerve palsy
Ophthalmology
Sexually transmitted infections
Journal
IDCases
ISSN: 2214-2509
Titre abrégé: IDCases
Pays: Netherlands
ID NLM: 101634540
Informations de publication
Date de publication:
2021
2021
Historique:
received:
17
07
2021
accepted:
23
07
2021
entrez:
11
8
2021
pubmed:
12
8
2021
medline:
12
8
2021
Statut:
epublish
Résumé
Acquired isolated oculomotor nerve palsy (ONP) is a commonly encountered clinical entity in ophthalmology. While most cases are due to microvascular ischemia, the diagnosis of ONP requires careful evaluation for alternate life-threatening etiologies. We present a case of isolated complete pupil-involving ONP in a healthy 47-year-old man in whom aneurysmal compression was initially suspected. Investigations later revealed a diagnosis of neurosyphilis. Neurosyphilis is an extremely rare cause of isolated ONP and seldom reported in the literature. Timely recognition of this disease by ophthalmologists can help orient patients to the appropriate neurology and infectious disease services they need.
Identifiants
pubmed: 34377671
doi: 10.1016/j.idcr.2021.e01237
pii: S2214-2509(21)00193-1
pmc: PMC8329520
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e01237Informations de copyright
© 2021 The Author(s).
Déclaration de conflit d'intérêts
None of the authors has any financial/competing interests to disclose.
Références
Neurology. 2018 Mar 6;90(10):e913-e914
pubmed: 29507143
J Neurol Neurosurg Psychiatry. 2004 May;75(5):789
pubmed: 15090587
AJNR Am J Neuroradiol. 1993 Nov-Dec;14(6):1329-31
pubmed: 8279327
Neuroophthalmology. 2014 Nov 21;39(1):1-11
pubmed: 27928323
Clin Radiol. 2004 Mar;59(3):294-6
pubmed: 15037145
JAMA Neurol. 2013 Dec;70(12):1582-3
pubmed: 24322513
Curr Infect Dis Rep. 2005 Jul;7(4):277-284
pubmed: 15963329
Curr Opin Ophthalmol. 2007 Sep;18(5):373-8
pubmed: 17700229