Divergence paralysis & intracranial hypertension due to neurobrucellosis. A case report.
METHODS
A 22 year old female presented with sudden onset of uncrossed diplopia at distance, intracranial hypertension, esotropia and was evaluated. Microbiological tests of CSF and sera showed for brucellosis and the patient received therapy for this and her intracranial hypertension. The papilledema, headache, esotropia and diplopia all disappeared after therapy.


CONCLUSIONS
Diagnostic tests for brucella must be considered for patients who have divergence palsy and papilledema, especially those living in endemic areas.
Tekeli
O
O
Department of Ophthalmology, Ankara Numune Hospital, Ankara, Turkey.
Tomaç
S
S
Gürsel
E
E
Hasiripi
H
H
D000086:Acetazolamide / Q000627:therapeutic use; D000328:Adult; D000904:Antibiotics, Antitubercular / Q000627:therapeutic use; D017347:Brucella melitensis / Q000302:isolation & purification; D002006:Brucellosis / Q000134:cerebrospinal fluid / Q000150:complications* / Q000188:drug therapy; D002443:Ceftriaxone / Q000627:therapeutic use; D020806:Central Nervous System Bacterial Infections / Q000134:cerebrospinal fluid / Q000150:complications* / Q000188:drug therapy; D002511:Cephalosporins; D002555:Cerebrospinal Fluid / Q000382:microbiology; D004172:Diplopia / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D004232:Diuretics / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004948:Esotropia / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006801:Humans; D019586:Intracranial Hypertension / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D010211:Papilledema / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D012293:Rifampin / Q000627:therapeutic use
D000904:Antibiotics, Antitubercular; D002511:Cephalosporins; D004232:Diuretics; D002443:Ceftriaxone; D000086:Acetazolamide; D012293:Rifampin