Uraemic brainstem encephalopathy mimicking ocular myasthenia: a case report.

ABSTRACT:

Background

Uraemia causes a generalised encephalopathy as its most common neurological complication. Isolated brainstem uraemic encephalopathy is rare. We report a case of fatigable ptosis and complex ophthalmoplegia in brainstem uraemic encephalopathy.

Case presentation

A 22-year-old Sri Lankan man with end stage renal failure presented with acute onset diplopia and drooping of eyelids progressively worsening over one week. The patient had not complied with the prescribed renal replacement therapy which was planned to be initiated 5 months previously. On examination, his Glasgow coma scale score was 15/15, He had a fatigable asymmetrical bilateral ptosis. The ice-pack test was negative. There was a complex ophthalmoplegia with bilateral abduction failure and elevation failu

SUBMITTER: Ruwanpathirana P 

PROVIDER: S-EPMC11010437 | biostudies-literature | 2024 Apr

REPOSITORIES: biostudies-literature