Case
opthalmoplegia

Sex: Male
Race: asian

History
History of present illness:
in perfect health previously woke up one day andc/o diplopia over next two days also c/o difficulty in walking

Medical History:
none

Past surgical history:
none

Allergies:
none

Family history:
not relevant h/o heart disease in grand fathergood

Social history:
good


Physical Exam
General:
slight drooping of left eye lid

Temperature:
normal

Heart rate:
130

Blood pressure:
normal

Respiratory rate:
normal

Oxygen saturation:
not recorded

Head, ears, eyes, nose & throat:
ptosis of left eye deviation of lrft pupil medially

Neck:
o;k

Chest:
o;k

Cardiovascular:
o;k

Abdomen:
o;k

GU:
o;k

Rectal:
o;k

Neurological:
diminished reflexes in all four limbs up going planters grade 4 power

Skin:
o;k

Laboratories:
o;k

Radiology:
MRI brain no specific finding

Plan of treatment:
given immunoglobulins

Results of treatment:
reflexes improvrd but eye problem still there




Comments
The following are comments made by other users of this site and are not in any way an opinion of thirdspace.org or its staff.


skhouse7/11/2009 - 9:35:29 AM
dsdsds


Want to comment? Use your login below. If you do not have one, click here to create one. All that is required is a valid email.


Login: Password: