A Case of Cryptococcal Meningitis with Bilateral Internuclear Ophthalmoplegia and Ptosis.
- Author:
Seonhye KIM
1
;
Oh Young KWON
;
Seungnam SON
;
Jieun KIM
;
Jihye CHOI
;
Ki Jong PARK
;
Nack Cheon CHOI
;
Byeong Hoon LIM
Author Information
1. Department of Neurology, Gyeongsang National University College of Medicine, Jinju, Korea. oykwon@nongae.gsnu.ac.kr
- Publication Type:Case Report
- Keywords:
Cryptococcal meningitis;
Internuclear ophthalmoplegia
- MeSH:
Aged;
Arthralgia;
Cerebrospinal Fluid;
Cryptococcus neoformans;
Female;
Humans;
Meningitis, Cryptococcal*;
Mesencephalon;
Ocular Motility Disorders*
- From:Journal of the Korean Neurological Association
2005;23(4):557-560
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 73-year-old woman with long-term steroid medication for arthralgia, suffered a sudden decrement of mental status, bilateral internuclear ophthalmoplegia and ptosis. T2-weighted MR images revealed high signals in the midbrain and both thalami. In cerebrospinal fluid studies, a test for cryptococcal antigen was positive and Cryptococcus neoformans was cultured. Bilateral internuclear ophthalmoplegia and ptosis may develop in cryptococcal meningitis from ischemic complications.