Neurosyphilis presenting with gummatous oculomotor nerve palsy

Third cranial nerve palsy caused by gummatous neurosyphilis: MR findings.

The clinical and MR findings in an unusual case of gummatous neurosyphilis are reported. A 44-year-old woman suffering from diplopia and right-sided headaches was admitted. Physical examination and routine laboratory parameters were normal except for a third-nerve palsy. MR images revealed a contrast-enhancing lesion of the upper brain stem and third cranial nerve. Differential diagnosis includ...

Frontal sinus mucocele presenting as oculomotor nerve palsy.

A frontal mucocele is an epithelium-lined, mucuscontaining cyst filling in the frontal sinus. It is capable of expansion to erode the surrounding structures, which may result in severe complications such as orbital infection or intracranial lesions. The clinical presentation of frontal mucoceles includes frontal headache, swelling of the upper eyelid, and ophthalmic symptoms, such as proptosis ...

Traumatic Oculomotor Nerve Palsy

Oculomotor nerve palsy generally presents with mydriasis, blepharoptosis, and impairment of extraocular muscle movement. The incidence of primary traumatic oculomotor nerve palsy in craniocerebral trauma is approximately 1.2% [1]. The causes of oculomotor nerve palsy are congenital, traumatic, vascular, migrainous, and parainfectious. Especially in children, it is often caused by congenital fac...

Oculomotor nerve palsy.

MR of oculomotor nerve palsy.

PURPOSE To assess the utility of MR in third cranial nerve palsy. METHODS We reviewed precontrast and postcontrast MR of 50 patients with third cranial nerve palsy. RESULTS MR demonstrated an appropriate lesion in 32 cases. Of these patients, 6 had brain stem lesions and 15 had involvement of the nerve in the cavernous sinus; lesions of the cisternal segment of the nerve were present in 11 ...