PropertyValue
?:abstract
  • A 60-year-old man recently admitted for bipedal oedema, endocarditis and a persistently positive COVID-19 swab with a history of anticoagulation on rivaroxaban for atrial fibrillation, transitional cell carcinoma, cerebral amyloid angiopathy, diabetes and hypertension presented with sudden onset diplopia and vertical gaze palsy. Vestibulo-ocular reflex was preserved. Simultaneously, he developed a scotoma and sudden visual loss, and was found to have a right branch retinal artery occlusion. MRI head demonstrated a unilateral midbrain infarct. This case demonstrates a rare unilateral cause of bilateral supranuclear palsy which spares the posterior commisure. The case also raises a question about the contribution of COVID-19 to the procoagulant status of the patient which already includes atrial fibrillation and endocarditis, and presents a complex treatment dilemma regarding anticoagulation.
is ?:annotates of
?:creator
?:journal
  • BMJ_case_reports
?:license
  • unk
?:publication_isRelatedTo_Disease
?:source
  • WHO
?:title
  • Bilateral, vertical supranuclear gaze palsy following unilateral midbrain infarct
?:type
?:who_covidence_id
  • #957913
?:year
  • 2020

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