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[Transient unilateral oculomotor paralysis].

E Kattner, H Siemes

    Monatsschrift Kinderheilkunde : Organ Der Deutschen Gesellschaft Fur Kinderheilkunde
    |March 1, 1985
    PubMed
    Summary
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    A pediatric case of oculomotor neuropathy, likely caused by enteroviral infection, showed spontaneous recovery in a three-year-old girl. Treatment with prednisone aided her full recovery from ptosis and ophthalmoplegia.

    Area of Science:

    • Neurology
    • Infectious Diseases
    • Ophthalmology

    Background:

    • Unilateral oculomotor neuropathy is a rare condition in children.
    • Enteroviral infections are a known cause of neurological complications.

    Observation:

    • A three-year-old girl presented with acute left eyelid ptosis and external ophthalmoplegia.
    • Neurological and physical examinations were otherwise unremarkable.
    • The patient experienced spontaneous recovery within a week.

    Findings:

    • Serological tests and clinical course suggested a self-limited enteroviral infection as the cause.
    • Echovirus type 11 and Coxsackie B4 virus were potential causative agents.
    • Cerebrospinal fluid (CSF) viral culture was negative.

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    Implications:

    • This case highlights enteroviral infection as a potential cause of pediatric oculomotor neuropathy.
    • Prompt diagnosis and supportive care, potentially including corticosteroids, can lead to full recovery.
    • Further research into the specific enteroviruses involved in such cases is warranted.