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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German Medical Science GMS Publishing House
2020-06-01
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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 |
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