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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.48 no.1 São Paulo Mar. 1990

http://dx.doi.org/10.1590/S0004-282X1990000100018 

Oftalmoplegia internuclear achado clínico inicial e único em endocardite bacteriana

 

Internuclear ophthalmoplegia: Initial clinical and isolated neurological finding in bacterial endocarditis

 

 

Antonio L. dos Santos WerneckI; Adrelírio J. Rios GonçalvesII; José Marcelo BezerraI

IMédico do SN - Trabalho do Serviço de Neurologia (SN) e do Serviço de Doenças Infecto-Parasitárias (SDIP) do Hospital dos Servidores do Estado do Rio de Janeiro (HSE-RJ)
IIMédico Chefe do SDIP - Trabalho do Serviço de Neurologia (SN) e do Serviço de Doenças Infecto-Parasitárias (SDIP) do Hospital dos Servidores do Estado do Rio de Janeiro (HSE-RJ)

 

 


RESUMO

Oftalmoplegia internuclear unilateral traduz-se por paralisia homolateral da adução ocular e nistagmo contralateral. As principais causas são a esclerose múltipla e a insuficiência vértebro-basilar. Apresentamos um caso secundário a endocardite bacteriana, em que este sinal iniciou o quadro e foi o único achado neurológico.


SUMMARY

Unilateral internuclear ophthalmoplegia become manifest by homolateral paralysis of ocular adduction and contralateral nystagmus. Principal causes are multiple sclerosis and vertebro-basilar insufficiency. We report a case in which this signal appeared as the first clinical manifestation of bacterial endocarditis and turned up to be the only neurological finding.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

REFERÊNCIAS

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Dr. Antonio L. dos Santos Werneck - Rua México 70 sala 902 - 20031 Rio de Janeiro RJ - Brasil

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