[Case of acute ophthalmoparesis with gaze nystagmus].
A 61-year-old man developed double vision subsequent to diarrheal illness. Mixed horizontal-vertical gaze palsy in both eyes, diminution of tendon reflexes, and gaze nystagmus were noted. His horizontal gaze palsy was accompanied by gaze nystagmus in the abducent direction, indicative of the disturbance in central nervous system. Neither limb weakness nor ataxia was noted. Serum anti-GQ1b antibody was detected. Brain magnetic resonance imaging (MRI) findings were normal. The patient was diagnosed as having acute ophthalmoparesis. The ophthalmoparesis and nystagmus gradually disappeared in 3 months. The accompanying nystagmus suggests that central nervous system disturbance may also be present with acute ophthalmoparesis.
Department of Neurology, Ube-Kousan Central Hospital.
Naomi
N
Ikuta
Yukiko
Y
Tada
Michiaki
M
Koga
D000208:Acute Disease; D015415:Biomarkers / Q000097:blood; D005732:Gangliosides / Q000276:immunology; D006801:Humans; D007074:Immunoglobulin G / Q000097:blood; D008297:Male; D008875:Middle Aged; D019846:Miller Fisher Syndrome / Q000150:complications / Q000175:diagnosis; D009759:Nystagmus, Pathologic / Q000209:etiology*; D009886:Ophthalmoplegia / Q000209:etiology*
D015415:Biomarkers; D005732:Gangliosides; D007074:Immunoglobulin G; C039129:GQ1b ganglioside