CRYPTOCOCCAL MENINGITIS AND INTERNAL OPHTHALMOPLEGIA

被引:20
作者
LESSER, RL [1 ]
SIMON, RM [1 ]
LEON, H [1 ]
SIEGEL, N [1 ]
机构
[1] YALE UNIV,SCH MED,DEPT PEDIAT,NEW HAVEN,CT 06510
关键词
D O I
10.1016/0002-9394(79)90304-0
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
A 17-year old girl received prednisone and azathioprine for the treatment of systemic lupus erythematosus. She developed a fever and hallucinations 18 months later; cryptococcal meningitis was diagnosed. An internal ophthalmoplegia with loss of accommodation and dilation of the pupils developed together with bilateral lateral rectus palsy. Treatment with intravenous amphotericin resulted in disappearance of papilledema, muscle palsy, and internal ophthalmoplegia. We believe that the internal ophthalmoplegia was secondary to involvement of the accommodative and pupillary fibers of both third nerves at the base of the brain. © 1979.
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页码:682 / 687
页数:6
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