양측 시상경색에 의한 양하전근 마비

• 영문명: A Case of Double Depressor Palsy due to Bilateral Thalamic Infarction
• 발행기관: 대한안과학회
• 저자명: 염명인 이승욱 김수진,Myeong In Yeom, MD, Seung Uk Lee, MD, Soo Jin Kim, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume55,number11, 1714~1720쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.11.15

영문 초록

Purpose: We report a rare case of double depressor palsy after bilateral thalamus infarction. Case summary: A 47-year-old male presented with complaints of diplopia upon awakening. He had atrial fibrillation, mitral valve regurgitation, aortic valve regurgitation and a history of spleen infarction 1 year prior. His right eye was hypertrophic and right eye downgaze was limited unilaterally of equal degree in adduction and abduction. Right eye horizontal and upward movements were intact. Left eye movement was intact in all directions. Pupillary light reflex response and convergence test were normal. Nystagmus was not observed. The patient was diagnosed with double depressor palsy of the right eye. Magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) of the brain showed an old infarction of the left thalamus and diffusion MRI showed acute infarction of the right thalamus. The patient's daily warfarin dose was 2 mg and was increased to 5 mg with cilostazol 75 mg two times a day. Seven weeks later, the patient's ocular movement revealed near normal muscle action and, subjectively, the patient was diplopia-free. Conclusions: Double depressor palsy is a extremely rare disease and can be caused by bilateral thalamic infarction. J Korean Ophthalmol Soc 2014;55(11):1714-1720

키워드

Bilateral paramedian thalamus infarction, Double depression palsy, Monocular depression palsy