ISSN:1070-8022    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

A patient with Lyme disease developed an isolated sixth nerve palsy at the end of a 1 month course of oral antibiotics. Magnetic resonance imaging disclosed high-signal abnormality at the left pontomedullary junction, implicating involvement of the distal sixth nerve fascicle. Although facial numbness ensued during a subsequent course of intravenous antibiotics, corticosteroid therapy was associated with prompt improvement of neurologic signs, suggesting an immunologic mechanism for the central nervous system dysfunction.

ISSN:1070-8022    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

The TUR syndrome is a clinical disorder consisting of circulatory, gastrointestinal, and neurologic signs that are infrequently seen in some patients undergoing en-doscopic surgery of the prostate gland with the use of nonconductive irrigating fluids. Several theories of its pathogenesis have been proposed. The condition may occasionally be associated with bilateral profound loss of vision. We report a patient with the TUR syndrome who suffered bilateral temporary blindness and speculate on the etiology of the visual loss and localization of the dysfunction along the visual pathway.

ISSN:1070-8022    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

We report a case of encephalopathy with paranoid psychosis in association with intracranial hypertension. This occurred in a patient whose diet consisted almost solely of walnuts, ginseng tea, and vitamin A supplements. The patient was found to be severely iron- and vitamin B12-deficient. She was vitamin A toxic. Venous sinus thrombosis was also present. Symptoms remitted with serial lumbar punctures, normalization of diet, and repletion of vitamin B12and iron stores. Physicians should be alerted to the possibility of a potentially confusing clinical presentation with coexistent and seemingly mutually exclusive neruologic conditions in patients with extremely restricted or fad diets.

ISSN:1070-8022    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

We document the case of a 76-year-old woman who developed multifocal choroidal lesions as an unusual complication of herpes zoster ophthalmicus.

ISSN:1070-8022    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Lyme borreliosis is an emerging tickborne spirochetal infection characterized by a broad variety of symptoms, ranging from neurologic disorders and different skin manifestations to cardiac symptoms. Many ocular and neuro-ophthalmic symptoms have recently been attributed to Lyme disease. Especially in endemic areas ophthalmologists need to be aware ofBorrelia burgdorferias a possible causal agent. The aim of this paper is to present a short review of the literature of ophthalmic disorders resulting fromBorrelia burgdorferiinfections.

ISSN:1070-8022    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

We describe a 34-year-old man with acute, nontraumatic inferior branch oculomotor nerve palsy. Complete ophthalmologic, neurologic, and systemic examinations were otherwise normal. The oculomotor nerve palsy resolved, but the patient subsequently developed bilateral upper extremity numbness and painful dysesthesias in the distribution of the median nerves. These observations suggest that inferior branch oculomotor nerve palsy, although uncommon, may occur as part of a more generalized neurologic disorder, presumed in our patient to be either vasculitic or demyelinating in nature.

ISSN:1070-8022    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

A 20-year-old achondroplastic dwarf developed severe papilledema over a short period of time. Since the age of 3 he had a ventriculoperitoneal shunt for presumed hydrocephalus. Severe ventriculomegaly was never documented, neither in the past, nor at presentation. Intracranial pressure was high, and the shunt was obliterated. Despite prompt shunt revision and subsequent bilateral optic nerve sheath decompression the patient developed postpapilledema optic atrophy with bilateral blindness. The pathophysiology of increased intracranial pressure in achondroplasia is discussed.

ISSN:1070-8022    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

We present a 63-year-old man with idiopathic striopallidodentate calcifications who exhibited a marked supranuclear defect of eye movement in addition to an extrapyramidal movement disturbance and dementia. The resulting clinical disorder resembled progressive supranuclear palsy.

ISSN:1070-8022    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

We describe an individual with Type I Usher's syndrome and a multiple sclerosislike illness. MRI scan showed vermian atrophy on T1-weighted images and multiple white matter lesions in the periventricular areas on T2-weighted images. Although MRIs demonstrating increased signal intensity on weighted images are reported in some individuals with Usher's syndrome, the cerebrospinal fluid findings are not described in these cases. In the present case, oligoclonal bands were present in the spinal fluid. The possibility of a linkage between the two diseases is raised.

ISSN:1070-8022    

出版商:OVID    

年代:1994

数据来源: OVID