Acute unilateral isolated oculomotor nerve palsy in an adult patient with influenza a

Joe Senda, Kunihiko Araki, Yasushi Tachi, Hazuki Watanabe, Yuichi Kagawashira, Mizuki Ito, Naoki Atsuta, Masahisa Katsuno, Hirohisa Watanabe, Gen Sobue

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Abstract

An otherwise healthy 44-year-old woman exhibited isolated unilateral oculomotor nerve palsy accompanied by an influenza A infection. An intra-orbital MRI scan revealed that her right third intracranial nerve was enlarged and enhanced. She recovered completely during the first month after treatment with oseltamivir phosphate. Although intracranial nerve disorders that result from influenza infections are most frequently reported in children, it is noteworthy that influenza can also cause focal intracranial nerve inflammation with ophthalmoparesis in adults. These disorders can be diagnosed using intra-orbital MRI scans with appropriate sequences and through immunological assays to detect the presence of antiganglioside antibodies.

Original languageEnglish
Pages (from-to)433-436
Number of pages4
JournalInternal Medicine
Volume58
Issue number3
DOIs
Publication statusPublished - 2019
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Internal Medicine

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    Senda, J., Araki, K., Tachi, Y., Watanabe, H., Kagawashira, Y., Ito, M., Atsuta, N., Katsuno, M., Watanabe, H., & Sobue, G. (2019). Acute unilateral isolated oculomotor nerve palsy in an adult patient with influenza a. Internal Medicine, 58(3), 433-436. https://doi.org/10.2169/internalmedicine.0850-18