Botulinum toxin treatment of Hertwig-Magendie sign.
Hypertropia, not due to the usual causes and associated with a central nervous system disorder, should be suspected as being a skew deviation (Hertwig-Magendie sign). We describe a new case of this supranuclear disorder, presumably related to cocaine-induced stroke. This disorder was treated by botulinum A toxin (Oculinum) injection into the superior rectus muscle. Follow-up one year later found the vertical deviation resolved.
Rebolleda
G
G
Department of Ophthalmology, Ramón y Cajal Hospital, Madrid, Spain.
Muñoz Negrete
F J
FJ
D000328:Adult; D019274:Botulinum Toxins, Type A / Q000627:therapeutic use*; D002561:Cerebrovascular Disorders / Q000139:chemically induced / Q000150:complications; D003042:Cocaine / Q000009:adverse effects; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009294:Narcotics / Q000009:adverse effects; D009465:Neuromuscular Agents / Q000627:therapeutic use*; D013285:Strabismus / Q000188:drug therapy* / Q000209:etiology / Q000503:physiopathology; D014792:Visual Acuity
D009294:Narcotics; D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A; D003042:Cocaine