Article Text

Download PDFPDF
Internuclear ophthalmoplegia following African tick bite fever
  1. Pauls Auce1,
  2. Sanjeev Rajakulendran1,
  3. Alexander Nesbitt1,
  4. Roger Chinn2,
  5. Angus Kennedy1
  1. 1Department of Neurology, Chelsea and Westminster Hospital, London, UK
  2. 2Department of Radiology, Chelsea and Westminster Hospital, London, UK
  1. Correspondence to Dr Angus Kennedy, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, UK; anguskennedy{at}uk-consultants.co.uk

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Case history

A 29-year-old previously healthy man presented with a diarrhoeal illness, headache and malaise while in South Africa where he had been living for 6 months. Two weeks later, he developed diplopia and incoordination.

Neurological examination revealed a left internuclear ophthalmoplegia (INO) and limb ataxia. The rest of his cranial nerve examination was normal as was tone, power, reflexes and sensation in his limbs. His general systemic examination was unremarkable; in particular, there were no skin lesions. …

View Full Text

Footnotes

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.