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

Authors

  • Amar Taksande Professor, Department Of Pediatrics, Jawaharlal Nehru Medical College, SawangiMeghe, Wardha, Maharashtra -442102, India.
  • Amol Lohakare DCH, Senior Resident, Department Of Pediatrics, Jawaharlal Nehru Medical College, SawangiMeghe, Wardha, Maharashtra -442102, India.
  • Rewat Meshram Assitant Professor, Department Of Pediatrics, Jawaharlal Nehru Medical College, SawangiMeghe, Wardha, Maharashtra -442102, India.
Abstract:

     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 palsy, impaired upward and downward deviation, and bilateral ptosis. Magnetic resonance imaging of brain revealed demyelinating changes in the midbrain.

Upgrade to premium to download articles

Sign up to access the full text

Already have an account?login

similar resources

Recurrent oculomotor nerve palsy: a rare presentation of neurocysticercosis.

peritoneal shunt for aqueductal stenosis. J Neurosurg 1976;44:383-5. 2. Azzam NI, Miles J. Ventriculo-aerocele secondary to obstructive hydrocephalus. Acta Neurochir (Wien) 1978;44:237-41. 3. Ikeda K, Nakano M, Tani E. Tension pneumocephalus complicating ventriculo peritoneal shunt for cerebrospinal fluid rhinorrhea. J Neurol Neurosurg Psychiatr 1978;42:319-22. 4. Steinberger A, Antunes JL, Mic...

full text

Isolated oculomotor nerve palsy due to common carotid artery occlusion.

To cite: Man BK, FU YP. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2013-201338 DESCRIPTION Oculomotor nerve palsy as the only manifestation of ipsilateral common carotid artery occlusion is rare. A 31-year-old man had history of nasopharyngeal carcinoma with radiation therapy performed when he was at the age of 14. He developed diplopia during work. He denie...

full text

Isolated oculomotor nerve palsy due to head injury.

Traumatic isolated oculomotor nerve palsy with negative imaging studies is extremely rare. We reported such a case who after head injury had normal brain computerized tomography (CT), magnetic resonance imaging (MRI), and angiography. The absence of other neurological signs and normal brain MRI indicated the lesion was most likely within the subarachnoid space, as the other important structures...

full text

Tumefactive: A Rare First presentation of Multiple Sclerosis

Tumefactive demyelinating lesions are a rare presentation of multiple sclerosis (MS). Diagnosis of tumefactive is commonly carried out using magnetic resonance image (MRI). Tumefactive diagnosis is difficult because of may similar to the clinical and MRI characteristics of glioma or a cerebral abscess. We presented a 35-years-old female with one episode of secondary generalized seizure after de...

full text

Isolated Oculomotor (Third) Nerve Palsy: A Rare Presentation in a Patient with Bilateral Chronic Subdural Hematoma (CSDH)

CSDH is an encapsulated collection of old blood, mostly liquefied and located between the dura mater and arachnoid. It was first described in the literature by Virchow in 1857 as “pachymeningitis haemorrhagica interna”. Later Trotter put forward the theory of traumatic rupture of bridging veins as a cause of what he named “subdural haemorrhagic cyst”. A history of head trauma is not always esse...

full text

Multiple Hypercementosis: Report of a Rare Presentation

Abstract  Hypercementosis is identified by an excessive, non-neoplastic deposition of radicular cementum and is mostly presented as a solitary lesion or in rare cases as a multiple type. It usually occurs in the premolar and molar region of mandible with no sex predilection. In this paper, we reported a 57-year-old female patient with multiple radiopaque lesions affecting right maxillary second...

full text

My Resources

Save resource for easier access later

Save to my library Already added to my library

{@ msg_add @}


Journal title

volume 5  issue 8

pages  5525- 5529

publication date 2017-08-01

By following a journal you will be notified via email when a new issue of this journal is published.

Hosted on Doprax cloud platform doprax.com

copyright © 2015-2023