Ophthalmoplegia associated with AIDS.

Abstract:

:A 34-year-old man with AIDS was admitted to the hospital with a one-week history of cough, chest pain, and fever. Radiography revealed a cavitating left upper lobe lesion. Two weeks later he developed a headache associated with a contrast enhancing lesion in the right parietal lobe. The patient had a progressive downhill course, developing atrioventricular block and hypernatremia. Neuro-ophthalmologically, there was a mild facial droop, "hand motions" vision with presumed bilateral cytomegalic inclusion retinitis, and signs of a mesencephalic syndrome, including lid retraction. Discussions center on the differential diagnosis of the central nervous system disease and the obligative recommendations the neuro-ophthalmologist must be willing to make.

journal_name

Surv Ophthalmol

journal_title

Survey of ophthalmology

authors

Hedges TR 3rd

doi

10.1016/s0039-6257(05)80043-8

subject

Has Abstract

pub_date

1994-07-01 00:00:00

pages

43-51

issue

1

eissn

0039-6257

issn

1879-3304

pii

S0039-6257(05)80043-8

journal_volume

39

pub_type

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