Supranuclear Ophthalmoplegia in Powassan Encephalitis

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Powassan Virus Encephalitis, Minnesota, USA

Powassan virus (POWV) is a rare tick-borne agent of encephalitis in North America. Historically, confirmed cases occurred mainly in the northeastern United States. Since 2008, confirmed cases in Minnesota and Wisconsin have increased. We report a fatal case of POWV encephalitis in Minnesota. POWV infection should be suspected in tick-exposed patients with viral encephalitis.

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Powassan Virus Encephalitis, Minnesota, USA

To the Editor: Birge and Sonnesyn report the first death of a Minnesota resident caused by Powassan virus (POWV) (1). However, they provide an inaccurate description of several critical diagnostic and surveillance issues concerning POWV. The 17 POWV infections detected in Minnesota residents from 2008 through 2011 (6 cases were identified through 2010, not 8 as reported by Birge and Sonnesyn) (...

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Reversible supranuclear ophthalmoplegia associated with Parkinsonism.

Two patients presented with a supranuclear ophthalmoplegia and clinical features otherwise indistinguishable from classical Parkinson's disease. Both had intercurrent infection, and recovery from the ophthalmoplegia paralleled that from the infection, but the Parkinsonian features improved more gradually on increasing doses of levodopa.

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Exodeviated Ophthalmoplegia in a Patient with Progressive Supranuclear Palsy

We report a patient with progressive supranuclear palsy (PSP) with his serial photographs before the onset of ocular symptoms and after the onset with two year intervals. These photographs show his progressive eyeball deviations toward complete exotropia. There were no effective voluntary eyeball movements, Bell's phenomenon, doll's eye movements, and vestibulo-ocular reflexes. These signs indi...

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Progressive supranuclear palsy with wall-eyed bilateral internuclear ophthalmoplegia syndrome.

BACKGROUND Walleyed bilateral internuclear ophthalmoplegia (WEBINO) syndrome has mainly been reported in patients with cerebrovascular diseases and multiple sclerosis, but has never been described in patients with neurodegenerative diseases. OBJECTIVE To describe a patient with progressive supranuclear palsy (PSP) who presented with WEBINO syndrome. DESIGN Case report and review of literatu...

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ژورنال

عنوان ژورنال: Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques

سال: 2010

ISSN: 0317-1671,2057-0155

DOI: 10.1017/s0317167100051672