Resultado visual favorável em meningite criptocócica e presença de paresia bilateral do músculo oblíquo superior

Resultado visual favorável em meningite criptocócica e presença de paresia bilateral do músculo oblíquo superior

Autores:

João A Trein Júnior,
Rosane C Ferreira,
Greg Phan,
J. Bronwyn Bateman

ARTIGO ORIGINAL

Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.62 no.3 São Paulo jun. 1999

http://dx.doi.org/10.5935/0004-2749.19990011

SUMMARY

Purpose:

To describe an unusual, favorable visual outcome in a patient with cryptococcal meningitis, and to present previously unreported bilateral superior oblique muscle pares is

Case Report:

A 15-year-old girl with lupus erythematosus and cryptococcal menin'gitis, bilateral superior oblique paresis, bilateral optic nervehead swelling, and elevated intracranial pressure developed no light perception vision in the right eye.

Results:

Treatment with oral fluconazale, acetazolamide, and dexamethasone, as well as repeated lumbar punctures to reduce intracranial pressure, was followed by recovery to visual acuity of 20/20 in both eyes and normal ocular motility.

Conclusion:

With appropriate treatment, visual loss associated with cryptococcal meningitis may have afavorable outcome.

Keywords: Cryptococcal meningitis; Lupus erythematosus; Visual loss; Superior oblique muscle paresis

REFERÊNCIAS

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