A case of CNS Cryptococcosis with internucleat ophthalomoplegia

J Korean Neurol Assoc > Volume 15(5); 1997 > Article

Journal of the Korean Neurological Association 1997;15(5): 1195-1198.

핵간안근마비를 보인 중추신경계 크립토콕쿠스병 1례

이지영, 김재일, 김기선, 강문철, 이창민, 양대웅, 이근호, 김상준

단국대학교병원 신경과. 진단방사선과

A case of CNS Cryptococcosis with internucleat ophthalomoplegia

Jiyeong Yi, M.D. , Jae Il Kim, M.D. , Ki Seon Kim, M.D. , Mun Chul Kang , Chang Min Lee, M.D. , Dae Woong Yang M.D. , Geun Ho Lee M.D., Sang Joon Kim M.D.*

Dept of Neurology and Dept of Diagnostic Radiology*, Dankook Univ Hospital

Abstract

ocular disturbances related to cranial nerve lesion or increased intracranial pressure are well known in cryptococcal meningitis, but internuclear ophthaloplegia is very rare and only two cases have been reported to our knowledge. We report the third patient of internuclear ophthalmoplegia in cryptococal meningitis. The internuclear ophthalmoplegia in our case persisted for one year with a demonstrable lesion in brain MRI, in contrast to the other cases in which intranuclear ophthalmoplegia was transient and no responsible lesion was observed.