Sudden-Onset Esotropia and Upbeat Nystagmus in an Adult with Wernicke's Encephalopathy: A Case Report.

Background: Wernicke's encephalopathy, a condition characterized by a triad of mental confusion, ophthalmoplegia, and gait ataxia, can be reversed if treatment is initiated promptly. This case examines optometry's role in comanagement when patients present with oculomotor manifestations of this cond...

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Publicado en:Optometry & Visual Performance Vol. 9; no. 2; pp. 73 - 78
Autores principales: Burton, Margaret, Mejia, Guadalupe
Formato: case study protocol tables/charts Journal Article
Publicado: Optometric Extension Program Jul2021
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Optometric Extension Program
      place: Lutherville Timonium, Maryland
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        atl: Sudden-Onset Esotropia and Upbeat Nystagmus in an Adult with Wernicke's Encephalopathy: A Case Report.
      aug:
        au:
          Burton, Margaret
          Mejia, Guadalupe
        affil: VA Illiana Healthcare System • Danville, Illinois
      sug:
        subj:
          Nystagmus, Pathologic
          Wernicke's Encephalopathy
          Diplopia
          Patient Care
          Middle Age
          Male
          Literature Review
          Optometry
          Middle Aged: 45-64 years
          Male
      ab: Background: Wernicke's encephalopathy, a condition characterized by a triad of mental confusion, ophthalmoplegia, and gait ataxia, can be reversed if treatment is initiated promptly. This case examines optometry's role in comanagement when patients present with oculomotor manifestations of this condition. Case Report: A 53-year-old Caucasian male diagnosed with Wernicke's encephalopathy was referred to the VA optometry clinic with symptoms of oscillopsia and diplopia. Examination revealed that his symptoms were caused by upbeat nystagmus and an acquired large-angle alternating esotropia. Over the course of several months, in conjunction with systemic treatment, the patient's ocular symptoms completely resolved. However, many of his systemic manifestations persisted. Conclusions: This paper reviews literature discussing sudden-onset esotropia and nystagmus in cerebellar disease and defines optometry's role in treatment.
      pubtype: Academic Journal
      doctype:
        case study
        protocol
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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