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10.1136/bcr-2020-238422 http://scihub22266oqcxt.onion/10.1136/bcr-2020-238422 33148560!7643481!33148560     free     free     free       BMJ+Case+Rep 2020 ; 13 (11): ? Nephropedia Template TP {{tp|p=33148560|t=2020. Bilateral, vertical supranuclear gaze palsy following unilateral midbrain infarct |pdf=|usr=}}{{33148560}} gab.com Text Bilateral, vertical supranuclear gaze palsy following unilateral midbrain infarct JO: BMJ Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=33148560 #FOAvip A 60-year-old man recently admitted for bipedal oedema, endocarditis and a persistently positive COVID-19 swab with a history of anticoagulation on rivaroxaban for atrial fibrillation, transitional cell carcinoma, cerebral amyloid angiopathy, diabetes and hypertension presented with sudden onset diplopia and vertical gaze palsy. Vestibulo-ocular reflex was preserved. Simultaneously, he developed a scotoma and sudden visual loss, and was found to have a right branch retinal artery occlusion. MRI head demonstrated a unilateral midbrain infarct. This case demonstrates a rare unilateral cause of bilateral supranuclear palsy which spares the posterior commisure. The case also raises a question about the contribution of COVID-19 to the procoagulant status of the patient which already includes atrial fibrillation and endocarditis, and presents a complex treatment dilemma regarding anticoagulation. Twit Text FOAVip Bilateral, vertical supranuclear gaze palsy following unilateral midbrain infarct ????BMJ Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=33148560 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33148560 #FOAvip English Wikipedia <ref>{{Cite pmid|33148560}}</ref> Bilateral, vertical supranuclear gaze palsy following unilateral midbrain infarct #MMPMID33148560 Yang Y; Qidwai U; Burton BJL; Canepa C BMJ Case Rep 2020[Nov]; 13 (11): ? PMID33148560show ga A 60-year-old man recently admitted for bipedal oedema, endocarditis and a persistently positive COVID-19 swab with a history of anticoagulation on rivaroxaban for atrial fibrillation, transitional cell carcinoma, cerebral amyloid angiopathy, diabetes and hypertension presented with sudden onset diplopia and vertical gaze palsy. Vestibulo-ocular reflex was preserved. Simultaneously, he developed a scotoma and sudden visual loss, and was found to have a right branch retinal artery occlusion. MRI head demonstrated a unilateral midbrain infarct. This case demonstrates a rare unilateral cause of bilateral supranuclear palsy which spares the posterior commisure. The case also raises a question about the contribution of COVID-19 to the procoagulant status of the patient which already includes atrial fibrillation and endocarditis, and presents a complex treatment dilemma regarding anticoagulation. |*Atrial Fibrillation/complications/drug therapy[MESH] |*Blindness/diagnosis/etiology[MESH] |*Brain Stem Infarctions/diagnostic imaging/drug therapy/physiopathology[MESH] |*Coronavirus Infections/complications/diagnosis/physiopathology[MESH] |*Diplopia/diagnosis/etiology[MESH] |*Endocarditis, Bacterial/complications/diagnosis/physiopathology[MESH] |*Ophthalmoplegia/diagnosis/etiology[MESH] |*Pandemics[MESH] |*Pneumonia, Viral/complications/diagnosis/physiopathology[MESH] |*Retinal Artery Occlusion/diagnostic imaging/drug therapy/etiology/physiopathology[MESH] |Aspirin/*administration & dosage[MESH] |Betacoronavirus/isolation & purification[MESH] |COVID-19[MESH] |Factor Xa Inhibitors/administration & dosage[MESH] |Humans[MESH] |Magnetic Resonance Imaging/methods[MESH] |Male[MESH] |Middle Aged[MESH] |Platelet Aggregation Inhibitors/administration & dosage[MESH] |Pyrazoles/*administration & dosage[MESH] |Pyridones/*administration & dosage[MESH] |SARS-CoV-2[MESH] |Tomography, Optical Coherence/methods[MESH]Bilateral, vertical supranuclear gaze palsy following unilateral midbr(epmc).pdf DeepDyve Pubget Overpricing