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Transient vertical diplopia following ibuprofen intake: a case report.
Shalom Haggiag1, Luca Prosperini2, Federico Sadun3
1Department of Neuroscience, Azienda Ospedaliera San Camilo Forlanini, Rome, Italy. neuroshalom@hotmail.com.
Summary
Ibuprofen, a common pain reliever, can rarely cause temporary double vision (diplopia) due to central nervous system effects. This case highlights the importance of considering NSAID-induced neurological issues.
Area of Science:
- Neuroscience
- Ophthalmology
- Pharmacology
Background:
- Ibuprofen is a widely used nonsteroidal anti-inflammatory drug (NSAID) for pain relief.
- While generally safe, NSAIDs can rarely cause neurological and ocular adverse effects.
Observation:
- A 27-year-old male presented with transient vertical diplopia after taking ibuprofen for back pain.
- The diplopia resolved spontaneously after discontinuing ibuprofen.
- Clinical and laboratory evaluations were unremarkable.
Findings:
- The patient's symptoms were suggestive of a skew deviation, indicating potential central nervous system toxicity.
- This case suggests that NSAID-associated diplopia may be underdiagnosed.
Implications:
- This case highlights a rare but significant neurological side effect of ibuprofen.
- Further research is needed to understand the mechanisms of ibuprofen's central toxicity.
- Clinicians should consider NSAID-induced neurological effects in patients presenting with diplopia.
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