Afferent and Efferent Pupillary Defect With a Right Cranial Nerve Sixth Palsy (the Parkinson Sign) as the Presenting Symptom of Pituitary Apoplexy

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Title Afferent and Efferent Pupillary Defect With a Right Cranial Nerve Sixth Palsy (the Parkinson Sign) as the Presenting Symptom of Pituitary Apoplexy
Creator Amir Ali; Subahari Raviskanthan; Peter W. Mortensen; Andrew G. Lee
Affiliation School of Medicine (AA), University of Texas Medical Branch, Galveston, Texas; Department of Ophthalmology (SR, PWM, AGL), Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas; Departments of Ophthalmology, Neurology, and Neurosurgery (AGL), Weill Cornell Medicine, New York, New York; Department of Ophthalmology (AGL), University of Texas Medical Branch, Galveston, Texas; University of Texas MD Anderson Cancer Center (AGL), Houston, Texas; Texas A and M College of Medicine (AGL), Bryan, Texas; and Department of Ophthalmology (AGL), the University of Iowa Hospitals and Clinics, Iowa City, Iowa
Abstract The eponymously named ‟Parkinson sign' is a combination of a Horner syndrome and an ipsilateral abducens nerve palsy (cranial nerve VI). The Parkinson sign localizes the lesion to the ipsilateral cavernous sinus.
Subject Cranial Nerve Diseases; Cranial Nerves; Humans; Magnetic Resonance Imaging; Oculomotor Nerve Diseases; Paralysis; Parkinson Disease; Pituitary Apoplexy; Pituitary Neoplasms; Pupil Disorders
OCR Text Show
Date 2022-12
Date Digital 2022-12
References 1. Murad-Kejbou S, Eggenberger E. Pituitary apoplexy: evaluation, management, and prognosis. Curr Opin Ophthalmol. 2009;20:456-461. 2. Simon S, Torpy D, Brophy B, Blumbergs P, Selva D, Crompton JL. Neuro-ophthalmic manifestations and outcomes of pituitary apoplexy-a life and sight-threatening emergency. N Z Med J. 2011;124:52-59. 3. Saffra N, Kaplow E, Mikolaenko I, Kim A, Rubin B, Jafar J. Isolated sixth cranial nerve palsy as the presenting symptom of a rapidly expanding ACTH positive pituitary adenoma: a case report. BMC Ophthalmol. 2011;11:4. 4. Parkinson D, Johnston J, Chaudhuri A. Sympathetic connections to the fifth and sixth cranial nerves. Anat Rec. 1978;191:221-226.
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Source Journal of Neuro-Ophthalmology, December 2022, Volume 42, Issue 4
Collection Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s6y93c0r
Setname ehsl_novel_jno
ID 2392960
Reference URL https://collections.lib.utah.edu/ark:/87278/s6y93c0r
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