2020/06/29 by Virna M. Shah, Shah, Virna M., Ratnesh Ranjan +7
Medicine · #610 Medical sciences #Cerebral Venous Sinus Thrombosis #Medicine #Ophthalmology and Eye Disorders #Traumatic Brain Injury and Neurovascular Disturbances #iron-deficiency anemia #midbrain infarction #vertical gaze palsy
paper · doi:10.3205/oc000155
openalex publication_date 2020/06/29 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/19
An 8-year-old boy presented with complaints of sudden-onset binocular vertical diplopia of one day duration. Ophthalmic examination showed restricted up- and downgaze movement with rotatory nystagmus. Systemic investigations revealed iron-deficiency anemia and localized acute infarct in the left paramedian rostral and dorsal part of the upper midbrain at the level of the red nucleus on magnetic resonance imaging. The patient was started on oral iron supplement, which resulted in symptomatic as well as clinical improvement after 2 weeks.