Cryptococcal meningitis and internal ophthalmoplegia.

Abstract:

:A 17-year old girl received prednisone and azathioprine for the treatment of systemic lupus erythematosus. She developed a fever and hallucinations 18 months later; cryptococcal meningitis was diagnosed. An internal ophthalmoplegia with loss of accommodation and dilation of the pupils developed together with bilateral lateral rectus palsy. Treatment with intravenous amphotericin resulted in disappearance of papilledema, muscle palsy, and internal ophthalmoplegia. We believe that the internal ophthalmoplegia was secondary to involvement of the accommodative and pupillary fibers of both third nerves at the base of the brain.

journal_name

Am J Ophthalmol

authors

Lesser RL,Simon RM,Leon H,Siegel N

doi

10.1016/0002-9394(79)90304-0

subject

Has Abstract

pub_date

1979-05-01 00:00:00

pages

682-7

issue

5

eissn

0002-9394

issn

1879-1891

pii

0002-9394(79)90304-0

journal_volume

87

pub_type

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