Isolated Ischemic Inferior Rectus Paresis Related to Patent Foramen Ovale.
José Alberto Reche-SainzPatricia Calleja-CastañoFernando Sarnago-CebadaRodrigo Gil-MansoPublished in: Neuro-ophthalmology (Aeolus Press) (2024)
Isolated paresis of the inferior rectus muscle (IRM) represents a rare occurrence. This case report involves a young adult male who, abruptly during a Valsalva maneuver, encountered acute vertical diplopia due to right IRM paresis, resolving spontaneously within a few hours. The patient presented without identifiable risk factors, and magnetic resonance imaging revealed a minor left thalamic ischemic lesion. A cardiac study identified the presence of a patent foramen ovale, potentially associated with a paradoxical embolism, indicating its likely role in this transient ischemic event.
Keyphrases
- case report
- cerebral ischemia
- magnetic resonance imaging
- risk factors
- young adults
- ischemia reperfusion injury
- risk assessment
- liver failure
- coronary artery
- skeletal muscle
- computed tomography
- respiratory failure
- drug induced
- heart failure
- brain injury
- oxidative stress
- aortic dissection
- intensive care unit
- hepatitis b virus
- extracorporeal membrane oxygenation