Ocular Neuromyotonia in a Patient With Cavernous Sinus Thrombosis Secondary to Mucormycosis

• Published in: American journal of ophthalmology Vol. 124; no. 1; pp. 122 - 123
• Main Authors: Harrison, Andrew R., Wirtschafter, Jonathan D.
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.07.1997; Elsevier; Elsevier Limited
• Subjects: Adult; Amphotericin B - therapeutic use; Antifungal Agents - therapeutic use; Biological and medical sciences; Cavernous Sinus; Eye Infections, Fungal - etiology; Eyelid Diseases - microbiology; Follow-Up Studies; Humans; Male; Medical sciences; Mucormycosis - complications; Mucormycosis - microbiology; Mucormycosis - therapy; Myotonia - microbiology; Oculomotor disorders; Oculomotor Muscles - innervation; Ophthalmology; Ophthalmoplegia - microbiology; Sinus Thrombosis, Intracranial - diagnosis; Sinus Thrombosis, Intracranial - microbiology; Sinus Thrombosis, Intracranial - therapy; Human; Cavernous sinus; Nervous system diseases; Mycosis; Cardiovascular disease; Thrombosis; Cerebral disorder; Venous disease; Infection; Vascular disease; Case study; Eye; Mucormycosis; Eye disease; Pseudomyotonia; Central nervous system disease; Complication; Cranial venous sinus; Oculomotor syndrome; Cerebrovascular disease
• ISSN: 0002-9394; 1879-1891
• DOI: 10.1016/S0002-9394(14)71663-0

To report a case of ocular neuromyotonia occurring after cavernous sinus thrombosis secondary to mucormycosis. Case report. We performed serial comprehensive neuro-ophthalmologic examinations. Fifteen months after initial total ophthalmoplegia of the right eye and complete right upper eyelid ptosis, isolated ocular neuromyotonia, characterized by episodic upward jerking movements of the right upper eyelid, was noted. Ocular neuromyotonia, which usually manifests in patients with a history of intracranial tumors and cranial radiation, may also be secondary to infectious cavernous sinus thrombosis.