Bilateral abducens nerve palsy due to septic thrombophlebitis
Purpose: To report a case of septic thrombophlebitis producing bilateral abducens nerve palsy. Observation: A 65 year-old woman with recent sinus surgery experienced the onset of horizontal diplopia during treatment for bacteremia. Computer tomography of head and a neck ultrasonography showed right...
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doaj-789f120d27094e4ea899d452f15212662020-11-25T02:19:46ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362019-12-0116Bilateral abducens nerve palsy due to septic thrombophlebitisVincent N. Vu0Peter J. Savino1Shira L. Robbins2Ratner Children's Eye Center at the University of California San Diego, 9415 Campus Point Drive, La Jolla, CA, USA; Corresponding author. 9415 Campus Point Drive, La Jolla, CA 92093, USA.Ratner Children's Eye Center at the University of California San Diego, 9415 Campus Point Drive, La Jolla, CA, USA; The Neuro-ophthalmology Service, The Shiley Eye Institute, University of California, 9415 Campus Point Drive, La Jolla, CA, USARatner Children's Eye Center at the University of California San Diego, 9415 Campus Point Drive, La Jolla, CA, USAPurpose: To report a case of septic thrombophlebitis producing bilateral abducens nerve palsy. Observation: A 65 year-old woman with recent sinus surgery experienced the onset of horizontal diplopia during treatment for bacteremia. Computer tomography of head and a neck ultrasonography showed right internal jugular vein occlusion. Ophthalmology examination was consistent with bilateral abducens nerve palsy. She was treated with systemic antibiotics and antiplatelet therapy with resolution of the internal jugular vein occlusion. The diplopia improved over a six-months. Conclusion and importance: Our patient had Lemierre syndrome with an unusual presentation. The patient was treated for septic thrombophlebitis with a resolution of her ocular symptoms. Keywords: Lemierre syndrome, Septic thrombophlebitis, Abducens nerve, Sixth cranial nervehttp://www.sciencedirect.com/science/article/pii/S2451993618302688 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Vincent N. Vu Peter J. Savino Shira L. Robbins |
spellingShingle |
Vincent N. Vu Peter J. Savino Shira L. Robbins Bilateral abducens nerve palsy due to septic thrombophlebitis American Journal of Ophthalmology Case Reports |
author_facet |
Vincent N. Vu Peter J. Savino Shira L. Robbins |
author_sort |
Vincent N. Vu |
title |
Bilateral abducens nerve palsy due to septic thrombophlebitis |
title_short |
Bilateral abducens nerve palsy due to septic thrombophlebitis |
title_full |
Bilateral abducens nerve palsy due to septic thrombophlebitis |
title_fullStr |
Bilateral abducens nerve palsy due to septic thrombophlebitis |
title_full_unstemmed |
Bilateral abducens nerve palsy due to septic thrombophlebitis |
title_sort |
bilateral abducens nerve palsy due to septic thrombophlebitis |
publisher |
Elsevier |
series |
American Journal of Ophthalmology Case Reports |
issn |
2451-9936 |
publishDate |
2019-12-01 |
description |
Purpose: To report a case of septic thrombophlebitis producing bilateral abducens nerve palsy. Observation: A 65 year-old woman with recent sinus surgery experienced the onset of horizontal diplopia during treatment for bacteremia. Computer tomography of head and a neck ultrasonography showed right internal jugular vein occlusion. Ophthalmology examination was consistent with bilateral abducens nerve palsy. She was treated with systemic antibiotics and antiplatelet therapy with resolution of the internal jugular vein occlusion. The diplopia improved over a six-months. Conclusion and importance: Our patient had Lemierre syndrome with an unusual presentation. The patient was treated for septic thrombophlebitis with a resolution of her ocular symptoms. Keywords: Lemierre syndrome, Septic thrombophlebitis, Abducens nerve, Sixth cranial nerve |
url |
http://www.sciencedirect.com/science/article/pii/S2451993618302688 |
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