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http://dx.doi.org/10.1097/WNO.0000000000002158 | DOI Listing |
Cureus
April 2025
Ophthalmology, General Hospital of Ioannina "G. Hatzikosta", Ioannina, GRC.
Oculomotor nerve (third cranial nerve) palsy is a neuro-ophthalmic emergency that can signify life-threatening pathologies. Diabetes mellitus (DM) is a common cause of isolated oculomotor palsies. We report a case of an acute isolated ptosis and diplopia caused by a superior division oculomotor nerve palsy in a diabetic patient, highlighting the diagnostic approach and outcome.
View Article and Find Full Text PDFBMJ Case Rep
December 2024
Radiology Department, Queen Alexandra Hospital, Portsmouth, Hampshire, UK.
A woman in her 70s, with a background of mantle cell lymphoma (MCL), presented with headache and diplopia. Neuro-ophthalmic examination revealed a combination of Horner syndrome and ipsilateral pupil sparing oculomotor nerve palsy (ONP). Cerebrospinal fluid immunophenotyping demonstrated CD5 positive clonal B lymphocytes, consistent with neurological involvement by MCL.
View Article and Find Full Text PDFIntern Med
May 2025
Department of Neurosurgery, Osaka Rosai Hospital, Japan.
Direct compression of the oculomotor nerve (OcN) is usually accompanied by OcN palsy, with an abnormal pupillary function. We herein present the case of a 76-year-old man with pupil-sparing paresis of the right inferior rectus muscle. A radiological examination revealed an epidermoid cyst at the right cerebellopontine angle, which came in contact with the right OcN.
View Article and Find Full Text PDFStrabismus
September 2024
Department of Ophthalmology, Jawaharlal Postgraduate Medical Education and Research, Puducherry.
To study the clinical spectrum and recovery patterns in patients of acquired isolated ocular motor nerve palsies (OMNPs). Patients above 5 years of age with various etiologies of OMNPs were included. Demographic and ocular details were recorded, and a squint assessment was performed.
View Article and Find Full Text PDFPlast Reconstr Surg Glob Open
May 2024
From the Department of Plastic and Reconstructive Surgery, Fujita Health University, Aichi, Japan.
Superior orbital fissure syndrome (SOFS) is a rare complication of craniofacial fracture, caused by damage to cranial nerves Ⅲ, Ⅳ, Ⅴ, and Ⅵ, which typically is associated with ophthalmoplegia, blepharoptosis, pupil dilatation and fixation, and upper eyelid and forehead hypesthesia. However, we here describe a very unusual case of craniofacial fracture with SOFS in the absence of pupil symptoms, involving a patient who was injured when he fell while riding his bicycle. Upon medical examination, we observed mild blepharoptosis and ophthalmoplegia of the right eye without pupillary symptoms.
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