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


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


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



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.


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.


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

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


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