Cryptococcal meningitis. An atypical presentation.
A previously healthy 23-year-old white female presented with a history of horizontal diplopia prior to any other symptoms. Physical examination revealed bilateral sixth cranial nerve palsies, papilledema, right Horner's syndrome, and right hemiparesis. Cryptococcus neoformans was isolated from the cerebrospinal fluid. This is the first documented case of Horner's syndrome associated with cryptococcal meningitis.
D000010:Abducens Nerve; D000328:Adult; D003453:Cryptococcosis / Q000150:complications / Q000175:diagnosis*; D003455:Cryptococcus neoformans / Q000302:isolation & purification; D004172:Diplopia / Q000209:etiology*; D005260:Female; D006429:Hemiplegia / Q000209:etiology; D006732:Horner Syndrome / Q000209:etiology*; D006801:Humans; D008581:Meningitis / Q000150:complications / Q000175:diagnosis*; D010211:Papilledema / Q000209:etiology