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Enteroviral rhombencephalitis presenting with ocular flutter.

Michael Fong1, Sangamithra Babu2, Nigel Wolfe2

  • 1Department of Neurology, Blacktown Hospital, Blacktown, NSW, Australia; Blacktown Clinical School, University of Western Sydney, Blacktown, NSW, Australia; Department of Neurology, Prince of Wales Hospital, Randwick, NSW, Australia.

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
|November 10, 2016
PubMed
Summary
This summary is machine-generated.

Ocular flutter and truncal ataxia in a young male were diagnosed as enteroviral rhombencephalitis. This case highlights the diagnostic challenges and potential treatments for this rare neurological condition.

Keywords:
Enteroviral rhombencephalitisOcular flutterTruncal ataxia

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Area of Science:

  • Neurology
  • Ophthalmology
  • Infectious Diseases

Background:

  • Ocular flutter is an uncommon neurological sign requiring thorough differential diagnosis.
  • Truncal ataxia can present alongside various neurological disorders.

Observation:

  • A previously healthy young male presented with spontaneous, conjugate, horizontal oscillations of the eyes (ocular flutter).
  • The patient also exhibited significant difficulty with balance and coordination (truncal ataxia).

Findings:

  • The clinical presentation was attributed to rhombencephalitis, an inflammation of the brainstem.
  • Enteroviral infection was identified as the causative agent of the rhombencephalitis.

Implications:

  • This case underscores the importance of considering infectious etiologies, such as enteroviruses, in young patients with ocular flutter and ataxia.
  • Understanding the neuroanatomical pathways affected by enteroviral rhombencephalitis is crucial for diagnosis and management.
  • Further research into effective treatments for enteroviral rhombencephalitis is warranted.