Isolated Medial Rectus Palsy in a Patient After Percutaneous Transluminal Coronary Angioplasty

Diplopia, a very common ophthalmic complaint, is a potential first sign of severe pathology. Here, we present a case of an atypical midbrain infarction targeting the lateral subnucleus of the oculomotor nuclear complex that manifested as diplopia with no additional symptoms of a stroke episode. Axia...

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Autores principales: Sharma, Avi, Daigavane, Sachin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Internal Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9611644/
https://www.ncbi.nlm.nih.gov/pubmed/36320955
http://dx.doi.org/10.7759/cureus.29653
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author Sharma, Avi
Daigavane, Sachin
author_facet Sharma, Avi
Daigavane, Sachin
author_sort Sharma, Avi
collection PubMed
description Diplopia, a very common ophthalmic complaint, is a potential first sign of severe pathology. Here, we present a case of an atypical midbrain infarction targeting the lateral subnucleus of the oculomotor nuclear complex that manifested as diplopia with no additional symptoms of a stroke episode. Axial diffusion-weighted and coronal T2-weighted magnetic resonance imaging showed an infarct in the rostral midbrain affecting the subnucleus of the medial rectus located ventrally. Diffusion-weighted imaging was used to diagnose the medial rectus nucleus infarct.
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spelling pubmed-96116442022-10-31 Isolated Medial Rectus Palsy in a Patient After Percutaneous Transluminal Coronary Angioplasty Sharma, Avi Daigavane, Sachin Cureus Internal Medicine Diplopia, a very common ophthalmic complaint, is a potential first sign of severe pathology. Here, we present a case of an atypical midbrain infarction targeting the lateral subnucleus of the oculomotor nuclear complex that manifested as diplopia with no additional symptoms of a stroke episode. Axial diffusion-weighted and coronal T2-weighted magnetic resonance imaging showed an infarct in the rostral midbrain affecting the subnucleus of the medial rectus located ventrally. Diffusion-weighted imaging was used to diagnose the medial rectus nucleus infarct. Cureus 2022-09-27 /pmc/articles/PMC9611644/ /pubmed/36320955 http://dx.doi.org/10.7759/cureus.29653 Text en Copyright © 2022, Sharma et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Sharma, Avi
Daigavane, Sachin
Isolated Medial Rectus Palsy in a Patient After Percutaneous Transluminal Coronary Angioplasty
title Isolated Medial Rectus Palsy in a Patient After Percutaneous Transluminal Coronary Angioplasty
title_full Isolated Medial Rectus Palsy in a Patient After Percutaneous Transluminal Coronary Angioplasty
title_fullStr Isolated Medial Rectus Palsy in a Patient After Percutaneous Transluminal Coronary Angioplasty
title_full_unstemmed Isolated Medial Rectus Palsy in a Patient After Percutaneous Transluminal Coronary Angioplasty
title_short Isolated Medial Rectus Palsy in a Patient After Percutaneous Transluminal Coronary Angioplasty
title_sort isolated medial rectus palsy in a patient after percutaneous transluminal coronary angioplasty
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9611644/
https://www.ncbi.nlm.nih.gov/pubmed/36320955
http://dx.doi.org/10.7759/cureus.29653
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