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Unilateral blindness with third cranial nerve palsy and abnormal enhancement of extraocular muscles on magnetic resonance imaging of orbit after the ingestion of methanol.

Authors
 Tae Nyoung Chung  ;  Sun Wook Kim  ;  Yoo Seok Park  ;  Incheol Park 
Citation
 EMERGENCY MEDICINE JOURNAL, Vol.27(5) : 409-410, 2010 
Journal Title
 EMERGENCY MEDICINE JOURNAL 
ISSN
 1472-0205 
Issue Date
2010
MeSH
Adult ; Blindness/chemically induced* ; Blindness/diagnosis ; Female ; Humans ; Magnetic Resonance Imaging ; Methanol/poisoning* ; Oculomotor Muscles/pathology ; Oculomotor Nerve Diseases/chemically induced* ; Oculomotor Nerve Diseases/diagnosis ; Solvents/poisoning* ; Suicide, Attempted
Abstract
Methanol is generally known to cause visual impairment and various systemic manifestations. There are a few reported specific findings for methanol intoxication on magnetic resonance imaging (MRI) of the brain. A case is reported of unilateral blindness with third cranial nerve palsy oculus sinister (OS) after the ingestion of methanol. Unilateral damage of the retina and optic nerve were confirmed by fundoscopy, flourescein angiography, visual evoked potential and electroretinogram. The optic nerve and extraocular muscles (superior rectus, medial rectus, inferior rectus and inferior oblique muscle) were enhanced by gadolinium-DTPA on MRI of the orbit. This is the first case report of permanent monocular blindness with confirmed unilateral damage of the retina and optic nerve, combined with third cranial nerve palsy after methanol ingestion.
Full Text
http://emj.bmj.com/content/27/5/409.long
DOI
10.1136/emj.2009.084277
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sun Wook(김선욱)
Park, Yoo Seok(박유석) ORCID logo https://orcid.org/0000-0003-1543-4664
Park, In Cheol(박인철) ORCID logo https://orcid.org/0000-0001-7033-766X
Chung, Tae Nyoung(정태녕)
Cheon, Jae Hee(천재희) ORCID logo https://orcid.org/0000-0002-2282-8904
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/102103
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