Document Detail


Internuclear ophthalmoplegia in giant cell arteritis.
MedLine Citation:
PMID:  2754673     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ophthalmoplegia from ischemia to peripheral ocular motor nerves or muscles may complicate the course of giant cell arteritis (GCA). Although brainstem ischemia is known to occur in GCA, internuclear ophthalmoplegia has not been described. Two cases of biopsy-proven GCA are described in which internuclear ophthalmoplegia resulted from brainstem ischemia. Embolization from thrombosed extradural segments of inflammed vertebral arteries, or arteritis of brainstem perforating vessels may account for brainstem infarction. Rapid tapering of steroids was temporally related to brainstem infarction in both cases.
Authors:
G T Thomson; J L Johnston; J A Sharpe; R D Inman
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of rheumatology     Volume:  16     ISSN:  0315-162X     ISO Abbreviation:  J. Rheumatol.     Publication Date:  1989 May 
Date Detail:
Created Date:  1989-09-01     Completed Date:  1989-09-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7501984     Medline TA:  J Rheumatol     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  693-5     Citation Subset:  IM    
Affiliation:
Division of Rheumatology, Toronto Hospital, ON, Canada.
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MeSH Terms
Descriptor/Qualifier:
Aged
Diplopia / etiology,  physiopathology
Giant Cell Arteritis / complications*,  drug therapy
Humans
Male
Middle Aged
Ophthalmoplegia / complications*,  physiopathology
Prednisone / therapeutic use
Saccades
Chemical
Reg. No./Substance:
53-03-2/Prednisone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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