Ophthalmoplegia or the paralysis of nerves supplying extraocular muscles can be due to numerous etiologies. In alcohol users, ophthalmoplegia might Wernicke's encephalopathy. A high dose thiamine should used with a index suspicion in such cases, but at same time, other life-threatening conditions not missed. Careful history taking, clinical features and neuro imaging guide identifying likely ae...

Case presentation: A previously healthy 12 year-old male presented to our tertiary emergency care with classic meningoencephalitis symptoms and paraparesis, urinary retention, facial nerve palsy, lagophtalmos, abducens oculomotor palsy hypoesthesia secondary sinusitis complications. These were intracranial lesions, multiple ischemic subcortical areas myelitis. The diagnosis was made through cli...

Onodi cell sinusitis is a rare cause of isolated oculomotor nerve palsy. The sphenoid sinus and mucocele or invasive fungal are often associated with multiple cranialnerve symptoms simultaneously. However, cranial palsy due to simple rare. Sinus disease difficult diagnose based on patient history physical examination alone; CT MRI help in correctly assessing these lesions. Here we report case o...

Abstract BACKGROUND AND IMPORTANCE Third nerve palsies in the pediatric population are most commonly caused by trauma, tumors, or vascular abnormalities. Cystic oculomotor neuropathies, however, rare. We report case of a symptomatic cyst along and within nerve, which has not been described previously. CLINICAL PRESENTATION Here, we 3-yr-old girl presenting with progressive painless palsy. A mag...

When an HRP or WGA-HRP solution was injected into the rostral midbrain including the oculomotor visceral nuclei, densely distributed HRP/WGA-HRP-positive granules were observed around the ganglion neurons in the accessory ciliary ganglion (ACG) and ectopic neurons in the communicating branch from the long ciliary nerve to the ACG. The same injections labeled fibers within the communicating bran...

We report a patient with acute cerebral infarction of the left paramedian thalamus, upper mesencephalon and cerebellum who exhibited ipsilateral oculomotor nerve palsy and contralateral downbeat nystagmus. The site of the infarction was considered to be the paramedian thalamopeduncular and cerebellar regions, which are supplied by the superior cerebellar artery containing direct perforating bra...

Detailed dissection was performed on eight head halves of four rabbits and six head halves of three dogs in order to investigate the nerve distributions to the m. retractor bulbi. Our observations indicated that the muscle was innervated by the branches of the abducens nerve in all sides which were examined in the present study. In addition, we observed that the ventral ramus of the oculomotor ...

BACKGROUND AND PURPOSE Ophthalmoplegic migraine is a rare condition characterized by the association of headaches and an oculomotor nerve palsy. We report six patients with typical clinical features of this disorder in whom enhancement of the cisternal segment of the oculomotor nerve developed during the acute phase, followed by resolution of enhancement over several weeks as the symptoms resol...

A 57-year-old man with a history of more than 10 years of bronchial asthma and chronic sinusitis complained of double vision which developed 18 days after cardiac tamponade with eosinophil-rich fluid (eosinophils 30%). He had oculomotor nerve palsy, and a blood test revealed eosinophilia (12,700/mm(3)) and elevation of both C-reactive protein and rheumatoid factor. He was diagnosed as having Ch...

1. Wilcox LM Jr, Gittinger JW Jr, Breinin GM. Congenital adduction palsy and synergistic divergence. Am J Ophthalmol. 1981;91(1):1-7. 2. Kim JH, Hwang JM. Adduction on attempted abduction: the opposite of synergistic divergence. Arch Ophthalmol. 2006;124(6):918-920. 3. Lim KH, Engle EC, Demer JL. Abnormalities of the oculomotor nerve in congenital fibrosis of the extraocular muscles and congeni...