Ophthalmoplegia associated with AIDS.
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.
Department of Ophthalmology, Tufts University, New England Eye Center, Boston, Massachusetts.
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Hedges
D015526:AIDS Dementia Complex / Q000150:complications*; D000328:Adult; D001284:Atrophy; D002540:Cerebral Cortex / Q000473:pathology; D017726:Cytomegalovirus Retinitis / Q000175:diagnosis; D003937:Diagnosis, Differential; D006801:Humans; D007968:Leukoencephalopathy, Progressive Multifocal / Q000175:diagnosis; D008297:Male; D009886:Ophthalmoplegia / Q000209:etiology*