Oculomotor Nerve Paralysis in a Patient with Thrombocytopenic Purpura and Antiphospholipid Syndrome

Authors

DOI:

https://doi.org/10.37467/gkarevmedica.v10.3120

Keywords:

Headache, Antiphospholipid Syndrome, Nerve palsy oculomotor, Purple idiopathic thrombocytopenia

Abstract

We describe the case of a patient with idiopathic thrombocytopenic purpura refractory to treatment, who was admitted due to headache, exotropia of the right eye, palpebral ptosis, severe thrombocytopenia, requiring transfusion. A contrasted brain MRI was performed which revealed subarachnoid hemorrhage in the right frontal operculum, requiring a negative infectious, deficiency, autoimmunity and vasculitic profile, with a profile for positive antiphospholipid syndrome. Vasa nervorum thrombosis was considered a possible pathophysiological mechanism, which favored incomplete oculomotor cranial nerve palsy. Anticoagulation with warfarin was started, immunomodulatory therapy was adjusted for the underlying disease, with favorable evolution on the part of the patient.

Author Biographies

Neiby Johana Rivera Rojas, Hospital Universitario Clínica San Rafael

Especialista en Neurología Clínica, Hospital Universitario Clínica San Rafael. 

Karen Marcela Muñoz Martínez, Hospital Universitario Clínica San Rafael

Especialista en Medicina Interna, Hospital Universitario Clínica San Rafael, Fundación Universitaria Juan N Corpas.

Andrea Catalina Nassar Tobón, Hospital Universitario Clínica San Rafael

Especialista en Neurología Clínica, Hospital Universitario Clínica San Rafael.

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Published

2022-03-01

How to Cite

Rivera Rojas, N. J., Muñoz Martínez, K. M., & Nassar Tobón, A. C. (2022). Oculomotor Nerve Paralysis in a Patient with Thrombocytopenic Purpura and Antiphospholipid Syndrome. MEDICA REVIEW. International Medical Humanities Review / Revista Internacional De Humanidades Médicas, 10(1). https://doi.org/10.37467/gkarevmedica.v10.3120

Issue

Section

Clinical Cases