title: Atypical botulism sparing palsy of extraocular muscles.
abstract: Recent studies of patients with botulism found ophthalmoplegia as a characteristic clinical sign. Here we illustrate a very rare case of atypical foodborne botulism with multiple bilateral cranial nerve palsies sparing palsy of extraocular muscles. Therefore, the classical diagnostic pentad of botulism (dry mouth, nausea, vomiting, dysphagia, diplopia, fixed dilated pupils) may be of limited sensitivity in single cases.
authors.affiliation: Dept. of Neurology, University of Ulm, Oberer Eselsberg 45, 89081 Ulm, Germany. hans-juergen.gdynia@uni-ulm.de
authors.forename: Hans-Jürgen
authors.initials: HJ
authors.lastname: Gdynia
authors.forename: Roman
authors.initials: R
authors.lastname: Huber
authors.forename: Andreas
authors.initials: A
authors.lastname: Kastrup
authors.forename: Axel
authors.initials: A
authors.lastname: Riecker
mesh_terms: D001904:Botulinum Antitoxin / Q000627:therapeutic use; D001905:Botulinum Toxins / Q000009:adverse effects*; D001906:Botulism / Q000150:complications* / Q000503:physiopathology / Q000628:therapy; D003389:Cranial Nerve Diseases / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D005506:Food Contamination; D006801:Humans; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000503:physiopathology*; D009886:Ophthalmoplegia / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy
chemical_list: D001904:Botulinum Antitoxin; D001905:Botulinum Toxins