The Lemierre syndrome - a neuroophthalmological approach

Case report of a twenty-two year old woman with double vision after tonsillitis, caused through multiples thrombosis by an infection with fusobacterium necrophorum known as the Lemierre-Syndrome. Fig. 1: Ocular motility at ICU (lying position) Fig. 2: white arrows show thrombosis of the right ophthalmic vein Fig. 3: white arrows show retropharyngeal mass Fig. 4: White arrows show thrombosis of the inner jugular veins Fig. 5: Brain-MRA shows fusiform aneurysm of the right internal carotic artery in the cavernous segment Fig. 6: Demonstrates palsy of the left abducens nerve Fig. 7: Demonstrates normal eye position and movement Fig. 8: Prof. Lemierre