Episodic third nerve palsy with cryptococcal meningitis

Azran, Marc S.; Waljee, Akbar K.; Biousse, Val rie; Frankel, Meir; Newman, N. J.

doi:10.1212/01.wnl.0000152049.81807.16

Cited by 16 publications

(7 citation statements)

References 5 publications

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“…Meningitis with the disturbance of ocular movement has been reported in mycotic meningitis (8), tuberculous meningitis (9), carcinomatous meningitis (10), and pachymeningitis (11). The causes of oculomotor nerve palsy in these meningitides were neuritis, angiitis, invasion of carcinoma, and direct expansion of inflammation, respectively.…”

Section: Discussionmentioning

confidence: 99%

Purulent Meningitis Caused by Actinomyces Successfully Treated with Rifampicin: A Case Report

et al. 2011

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A 64-year-old woman presented with fever and headache. Lumbar puncture revealed cerebrospinal fluid (CSF) that contained 67,386/mm 3 of WBC; CSF culture revealed Actinomyces species. She was diagnosed with purulent meningitis caused by actinomyces, and treated with intravenous ampicillin 12 g/day. The administration of ampicillin was effective, but not sufficient to control the inflammation in CSF. CSF inflammation persisted and a gradual increase in granulation tissue was found in the subdural space on lumbar MRI. After administration of rifampicin 450 mg/day, the CSF was normalized and the enhancement of granulation tissue decreased. The patient completely recovered 5 months after the therapy was initiated. We suggest that rifampicin may be an option for the treatment of meningitis caused by actinomyces.

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Section: Discussionmentioning

confidence: 99%

Purulent Meningitis Caused by Actinomyces Successfully Treated with Rifampicin: A Case Report

et al. 2011

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“…No case related to a tumor has been reported in the pediatric population. 6 This case highlights the fact that a brainstem tumor can cause intermittent OMP, drawing attention to the importance of conducting early neuroimaging. Figure 3: MRI of the pontomesencephalic junction showing the space occupying lesion measuring: 1.5 × 2 × 2 cm in each plane and extending into the interpeduncular fossa.…”

mentioning

confidence: 84%

“…Case reports describing such a finding point to various etiologies. These include acquired palsies such as PCOM aneurysms, lesions close to the cavernous sinus, idiopathic intracranial hypertension, 6 schwannomas 4 and recurrent painful ophthalmologic neuropathy 7 . The fluctuating symptomatology of these conditions lasted from days to years.…”

mentioning

confidence: 99%

Embryonal Tumor with Multilayered Rosettes Presenting with Intermittent Third Nerve Palsy

Ferman

Daigle

Weil

et al. 2018

Can. J. Neurol. Sci.

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“…31 The third nerve may be affected by the infections in the central nervous system and has been reported in association with tuberculosis, syphilis, Fusobacterium, Streptococcus pyogenes, cysticercosis, Lyme disease, group B streptococcus, Epstein-Barr virus, parvovirus, Cryptococcus, neurobrucellosis, and others. [32][33][34][35][36][37][38][39][40][41][42] Compression by neoplasms in the subarachnoid space is an infrequent cause of TNP.…”

Section: Clinical Pearlmentioning

confidence: 99%