Teaching NeuroImages: A case of partial oculomotor palsy

Teaching NeuroImages: herpes zoster ophthalmicus-related oculomotor palsy accompanied by Hutchinson sign.

A 51-year-old woman presented with acute diplopia. Findings include right ptosis, a dilated, unreactive pupil, and impaired adduction and vertical ductions (figure 1). A skin lesion was noted on the right tip of the nose, residual from a vesicular rash over the right forehead 3 weeks earlier (figure 1). MRI demonstrated enhancement of the cisternal third nerve, obviating the need for angiograph...

Teaching NeuroImages: Recurrent oculomotor palsies caused by neurosarcoidosis.

Teaching NeuroImages: awakening ptosis (unilateral hypnopompic eyelid palsy).

A healthy 68-year-old woman presented with 2 years of recurrent episodes of right ptosis, constantly present after waking from sleep (figure 1). Clinical examination, brain MRI, EMG, and polysomnography were unremarkable (figure 2). In particular, there was no cranial nerve impairment. Few cases of idiopathic ptosis on awakening have been described, and they have been attributed to eyelid openi...

Melkersson-Rosenthal syndrome with partial oculomotor nerve palsy.

Ann Saudi Med 28(2) March-April 2008 www.saudiannals.net 135 Melkersson-Rosenthal syndrome (MRS) is a rare granulomatous disease characterized by orofacial edema, facial nerve palsy, and furrowed tongue (lingua plicata).1,2 This is the classic triad which defines the syndrome, although it is accepted that the presence of two manifestations or one with a granulomatous cheilitis in the eyelid bio...

A Rare Presentation of Isolated Oculomotor Nerve Palsy due to Multiple Sclerosis in a Child

     Multiple sclerosis (MS) is an inflammatory, demyelinating, neurodegenerative disorder of the central nervous system (CNS) of unknown etiology. Isolated oculomotor nerve palsy is found rarely in children with MS. We present a case of MS in 10-year-old boy, who had bilateral ptosis associated with medial gaze restriction. The extraocular muscle examination demonstrated bilateral adduction pa...