J Korean Neurol Assoc.
2005 Aug;23(4):557-560.
A Case of Cryptococcal Meningitis with Bilateral Internuclear Ophthalmoplegia and Ptosis
- Affiliations
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- 1Department of Neurology, Gyeongsang National University College of Medicine, Jinju, Korea. oykwon@nongae.gsnu.ac.kr
- 2Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.
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.
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