Oculomotor nerve palsy as an extraintestinal manifestation of Crohn's disease

被引:0
|
作者
Papadopoulou, Marianna [1 ,2 ]
Tzortsou, Sofia [2 ]
Chatzi, Ioanna [2 ]
Baltogiannis, Christos [2 ]
机构
[1] Univ West Attica, Dept Physiotherapy, Egaleo, Greece
[2] Hygeias Melathron, Dept Neurol, Athens, Greece
关键词
Cranial nerves; Crohn's disease; SENSORINEURAL HEARING-LOSS; INFLAMMATORY-BOWEL-DISEASE; ISCHEMIC OPTIC NEUROPATHY; ORBITAL MYOSITIS; PATIENT;
D O I
10.1136/bcr-2022-254456
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Patients with inflammatory bowel disease (IBD) may present with extraintestinal manifestations. Neurological symptoms associated with IBD are infrequent. Thus, any unexplained neurological symptom that occurs in patients with IBD should raise the suspicion of a link between the two disorders. We report a case of a man in his 60s, who was diagnosed with Crohn's disease and developed ptosis and diplopia. Neurological examination revealed oculomotor nerve palsy, sparing the pupil. MRI and magnetic resonance angiography of the brain were insignificant and no other cause was determined. He was treated with oral corticosteroids and symptoms gradually subsided. Cranial nerve palsies associated with IBD have been rarely reported. They usually involve the optic and acoustic nerve and are attributed to a common dysimmune base. This is the first reported case of oculomotor nerve palsy (III cranial nerve) associated with IBD. Clinicians treating patients with IBD should be alert for unusual neurological complications and treat them appropriately.
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页数:3
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