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

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...

Full description

Bibliographic Details
Main Authors: Shah, Virna M., Ranjan, Ratnesh, Jeste, Mrunmayi, MacIntosh, Peter, Ashwath, Duraiswamy
Format: Article
Language:English
Published: German Medical Science GMS Publishing House 2020-06-01
Series:GMS Ophthalmology Cases
Subjects:
vertical gaze palsy
midbrain infarction
iron-deficiency anemia
Online Access:http://www.egms.de/static/en/journals/oc/2020-10/oc000155.shtml
id doaj-44777ecc1754421a9ad648ca0ded3834
record_format Article
spelling doaj-44777ecc1754421a9ad648ca0ded38342020-11-25T02:18:23ZengGerman Medical Science GMS Publishing HouseGMS Ophthalmology Cases2193-14962020-06-0110Doc2810.3205/oc000155Bilateral vertical gaze palsy due to midbrain infarct associated with iron deficiency anemia in a young boyShah, Virna M.0Ranjan, Ratnesh1Jeste, Mrunmayi2MacIntosh, Peter3Ashwath, Duraiswamy4Aravind Eye Hospital & Postgraduate Institute of Ophthalmology, Coimbatore, IndiaAravind Eye Hospital & Postgraduate Institute of Ophthalmology, Coimbatore, IndiaAravind Eye Hospital & Postgraduate Institute of Ophthalmology, Coimbatore, IndiaOphthalmic Plastic & Reconstructive Surgery and Neuro-Ophthalmology, Illinois Eye and Ear Infirmary, Chicago, USADepartment of Pediatrics, Kovai Medical Centre and Hospital, Coimbatore, IndiaAn 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.http://www.egms.de/static/en/journals/oc/2020-10/oc000155.shtmlvertical gaze palsymidbrain infarctioniron-deficiency anemia
collection DOAJ
language English
format Article
sources DOAJ
author Shah, Virna M.
Ranjan, Ratnesh
Jeste, Mrunmayi
MacIntosh, Peter
Ashwath, Duraiswamy
spellingShingle 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
GMS Ophthalmology Cases
vertical gaze palsy
midbrain infarction
iron-deficiency anemia
author_facet Shah, Virna M.
Ranjan, Ratnesh
Jeste, Mrunmayi
MacIntosh, Peter
Ashwath, Duraiswamy
author_sort Shah, Virna M.
title 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_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_sort bilateral vertical gaze palsy due to midbrain infarct associated with iron deficiency anemia in a young boy
publisher German Medical Science GMS Publishing House
series GMS Ophthalmology Cases
issn 2193-1496
publishDate 2020-06-01
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.
topic vertical gaze palsy
midbrain infarction
iron-deficiency anemia
url http://www.egms.de/static/en/journals/oc/2020-10/oc000155.shtml
work_keys_str_mv AT shahvirnam bilateralverticalgazepalsyduetomidbraininfarctassociatedwithirondeficiencyanemiainayoungboy
AT ranjanratnesh bilateralverticalgazepalsyduetomidbraininfarctassociatedwithirondeficiencyanemiainayoungboy
AT jestemrunmayi bilateralverticalgazepalsyduetomidbraininfarctassociatedwithirondeficiencyanemiainayoungboy
AT macintoshpeter bilateralverticalgazepalsyduetomidbraininfarctassociatedwithirondeficiencyanemiainayoungboy
AT ashwathduraiswamy bilateralverticalgazepalsyduetomidbraininfarctassociatedwithirondeficiencyanemiainayoungboy
_version_ 1724882552197480448

Similar Items