Bilateral vertical gaze palsy due to midbrain infarct associated with iron deficiency anemia in a young boy

An 8-year-old boy presented with complaints of sudden-onset binocular vertical diplopia of one day duration. Ophthalmic examination showed restricted up- and downgaze movement with rotatory nystagmus. Systemic investigations revealed iron-deficiency anemia and localized acute infarct in the left par...

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Autores principales: Shah, Virna M., Ranjan, Ratnesh, Jeste, Mrunmayi, MacIntosh, Peter, Ashwath, Duraiswamy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: German Medical Science GMS Publishing House 2020
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332997/
https://www.ncbi.nlm.nih.gov/pubmed/32676273
http://dx.doi.org/10.3205/oc000155
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author Shah, Virna M.
Ranjan, Ratnesh
Jeste, Mrunmayi
MacIntosh, Peter
Ashwath, Duraiswamy
author_facet Shah, Virna M.
Ranjan, Ratnesh
Jeste, Mrunmayi
MacIntosh, Peter
Ashwath, Duraiswamy
author_sort Shah, Virna M.
collection PubMed
description An 8-year-old boy presented with complaints of sudden-onset binocular vertical diplopia of one day duration. Ophthalmic examination showed restricted up- and downgaze movement with rotatory nystagmus. Systemic investigations revealed iron-deficiency anemia and localized acute infarct in the left paramedian rostral and dorsal part of the upper midbrain at the level of the red nucleus on magnetic resonance imaging. The patient was started on oral iron supplement, which resulted in symptomatic as well as clinical improvement after 2 weeks.
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spelling pubmed-73329972020-07-15 Bilateral vertical gaze palsy due to midbrain infarct associated with iron deficiency anemia in a young boy Shah, Virna M. Ranjan, Ratnesh Jeste, Mrunmayi MacIntosh, Peter Ashwath, Duraiswamy GMS Ophthalmol Cases Article An 8-year-old boy presented with complaints of sudden-onset binocular vertical diplopia of one day duration. Ophthalmic examination showed restricted up- and downgaze movement with rotatory nystagmus. Systemic investigations revealed iron-deficiency anemia and localized acute infarct in the left paramedian rostral and dorsal part of the upper midbrain at the level of the red nucleus on magnetic resonance imaging. The patient was started on oral iron supplement, which resulted in symptomatic as well as clinical improvement after 2 weeks. German Medical Science GMS Publishing House 2020-06-29 /pmc/articles/PMC7332997/ /pubmed/32676273 http://dx.doi.org/10.3205/oc000155 Text en Copyright © 2020 Shah et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Shah, Virna M.
Ranjan, Ratnesh
Jeste, Mrunmayi
MacIntosh, Peter
Ashwath, Duraiswamy
Bilateral vertical gaze palsy due to midbrain infarct associated with iron deficiency anemia in a young boy
title Bilateral vertical gaze palsy due to midbrain infarct associated with iron deficiency anemia in a young boy
title_full Bilateral vertical gaze palsy due to midbrain infarct associated with iron deficiency anemia in a young boy
title_fullStr Bilateral vertical gaze palsy due to midbrain infarct associated with iron deficiency anemia in a young boy
title_full_unstemmed Bilateral vertical gaze palsy due to midbrain infarct associated with iron deficiency anemia in a young boy
title_short Bilateral vertical gaze palsy due to midbrain infarct associated with iron deficiency anemia in a young boy
title_sort bilateral vertical gaze palsy due to midbrain infarct associated with iron deficiency anemia in a young boy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332997/
https://www.ncbi.nlm.nih.gov/pubmed/32676273
http://dx.doi.org/10.3205/oc000155
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