Atypical botulism sparing palsy of extraocular muscles.
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.
Gdynia
Hans-Jürgen
HJ
Dept. of Neurology, University of Ulm, Oberer Eselsberg 45, 89081 Ulm, Germany. hans-juergen.gdynia@uni-ulm.de
Huber
Roman
R
Kastrup
Andreas
A
Riecker
Axel
A
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
D001904:Botulinum Antitoxin; D001905:Botulinum Toxins