Ischemic Cranial Nerve III Palsy: Diagnosis, Management, and Follow-up
نویسندگان
چکیده
Background: Acquired cranial nerve III palsies (CN3P) can be ischemic in nature due to underlying vasculopathy, trauma, or by compressive damage aneurysm tumor. In most cases, neuroimaging is completed rule out a life-threatening etiology. This case outlines an acute oculomotor palsy microvascular disease with the appropriate diagnostic testing, treatment, and follow-up course. Case Report: A 67-year-old African American female presented complaints of drooping left eyelid intermittent diagonal diplopia. She had known diagnosis type 2 diabetes hypertension. Entering visual acuity was 20/25-1 right eye (OD) 20/40-1 (OS). No afferent pupillary defect noted OD OS, however, sluggish response light OS. Entrance testing unremarkable OD. CVF were restricted superiorly OS incomplete ptosis EOMs all gazes except abduction down-and-out position. The patient sent emergency room pupil involving CN3P. All final CN3P made. Conclusion: Prompt essential management Clinicians must pay close attention pupils as it may reveal this case, warranted immediate referral potential Fortunately, etiology determined ischemia from her uncontrolled systemic vasculopathies. Such patients should monitored regularly until resolution.
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ژورنال
عنوان ژورنال: Optometric clinical practice
سال: 2022
ISSN: ['2578-4331', '2575-7717']
DOI: https://doi.org/10.37685/uiwlibraries.2575-7717.4.2.1060