Occam vs Hickam.

Lucy Cobbs,Ann P Murchison, Adam DeBusk,Jurij R Bilyk

Survey of ophthalmology（2022）

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摘要

A 23-year-old man presented with new onset horizontal diplopia 5 months after a left orbital floor fracture. Examination revealed bilateral abduction deficits and disc swelling. Urgent MRI and MRI showed no significant abnormalities in the CNS. Lumbar puncture revealed a minimally elevated opening pressure and significant leukocytosis. Additional CSF testing revealed probable Lyme meningitis. The patient responded to a course of oral doxycycline, with rapid resolution of his diplopia, abduction deficits, and disc edema.

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关键词

Diplopia,Lyme disease,Lyme meningitis,neuroborreliosis,optic disc edema,orbital floor fracture

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