Acute Ophthalmoparesis Accompanied with Influenza A Infection

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概要

• 論文の詳細を見る

• We report the first adult case of Influenza A virus infection with acute unilateral oculomotor nerve palsy. Unlike previous reports, our patient showed isolated unilateral oculomotor nerve palsy as soon as she developed general symptoms with Influenza A infection, and demonstrated no significant increases of anti-ganglioside antibodies including anti-GQ1b IgG antibody. She recovered immediately after treatment of oseltamivir phosphate. As for the mechanism by which Influenza A infection caused ophthalmoparesis, small vessel vasculitis due to direct invasion of the virus was speculated. Although influenza encephalitis/encephalopathy including acute necrotizing encephalopathy are most frequently reported in children, it is noteworthy that influenza virus can also cause focal neurological signs such as ophthalmoparesis in adult cases.

• 社団法人 日本内科学会の論文

著者

• Uchino Makoto

  Department Of Neurology Graduate School Of Medical Sciences Kumamoto University

• Tokunaga Makoto

  Department Of Applied Electronics Tokyo University Of Science

• Yamashita Satoshi

  Department Of Biochemistry And Engineering Graduate School Of Engineering Tohoku University

• Kouzaki Yanosuke

  Department of Neurology, Kumamoto Medical Center, National Hospital Organization

• Kawano Ryoko

  Department of Neurology, Kumamoto Medical Center, National Hospital Organization

• Yamashita Satoshi

  Department of Neurology, Kumamoto Medical Center, National Hospital Organization

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