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Bilateral, vertical supranuclear gaze palsy following unilateral midbrain infarct.
Yang, Yunfei; Qidwai, Umair; Burton, Benjamin J L; Canepa, Carlo.
  • Yang Y; Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK yunfei.yang@nhs.net.
  • Qidwai U; James Paget University Hospital, James Paget University Hospitals NHS Foundation Trust, Great Yarmouth, UK.
  • Burton BJL; James Paget University Hospital, James Paget University Hospitals NHS Foundation Trust, Great Yarmouth, UK.
  • Canepa C; James Paget University Hospital, James Paget University Hospitals NHS Foundation Trust, Great Yarmouth, UK.
BMJ Case Rep ; 13(11)2020 Nov 04.
Article in English | MEDLINE | ID: covidwho-957913
ABSTRACT
A 60-year-old man recently admitted for bipedal oedema, endocarditis and a persistently positive COVID-19 swab with a history of anticoagulation on rivaroxaban for atrial fibrillation, transitional cell carcinoma, cerebral amyloid angiopathy, diabetes and hypertension presented with sudden onset diplopia and vertical gaze palsy. Vestibulo-ocular reflex was preserved. Simultaneously, he developed a scotoma and sudden visual loss, and was found to have a right branch retinal artery occlusion. MRI head demonstrated a unilateral midbrain infarct. This case demonstrates a rare unilateral cause of bilateral supranuclear palsy which spares the posterior commisure. The case also raises a question about the contribution of COVID-19 to the procoagulant status of the patient which already includes atrial fibrillation and endocarditis, and presents a complex treatment dilemma regarding anticoagulation.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Pyrazoles / Pyridones / Atrial Fibrillation / Retinal Artery Occlusion / Ophthalmoplegia / Aspirin / Blindness / Coronavirus Infections / Brain Stem Infarctions Type of study: Case report / Diagnostic study / Prognostic study Topics: Long Covid Language: English Year: 2020 Document Type: Article Affiliation country: Bcr-2020-238422

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Pyrazoles / Pyridones / Atrial Fibrillation / Retinal Artery Occlusion / Ophthalmoplegia / Aspirin / Blindness / Coronavirus Infections / Brain Stem Infarctions Type of study: Case report / Diagnostic study / Prognostic study Topics: Long Covid Language: English Year: 2020 Document Type: Article Affiliation country: Bcr-2020-238422