Isolated, Inferior Rectus Palsy in a Patient with Esophageal Carcinoma

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Identifier walsh_1987_s4_c6
Title Isolated, Inferior Rectus Palsy in a Patient with Esophageal Carcinoma
Creator Lyn A. Sedwick
Subject Diplopia; Cranial Nerve Neoplasms; Oculomotor Nerve; Carcinoma, Squamous Cell; Neoplasm Metastasis; Esophageal Neoplasms
History A 55-year old male with a 2-week history of vertical, binocular diplopia. Previous history significant for squamous cell carcinoma of the esophagus with metastatic lesions in lung and supraclavicular lymph nodes.
Pathology Metastatic squamous cell carcinoma
Disease/Diagnosis Metastasis of squamous cell carcinoma to III nerve subnucleus
Clinical VA: 20/25 OU; Deficit of right and down gaze OD
Presenting Symptom Diplopia
Neuroimaging CT; MRI
Treatment XRT
References 1. Bender, MB, Weinstein EA: Functional representation in the oculomotor and and trochlear nuclei. Arch Neur Psychiatri 1943; 49:98-106. 2. Cogan DG: Neurology of the Ocular Muscles, Charles C Thomas, Springfield, 1970, pp 56-57. 3. Nakao S: Direct projection of cat mesodiencephalic neurons to the inferior rectus subdivision of the oculomotor nucleus. Neuroscience Letters 1983; 39:243-248. 4. Roper-Hall G, Burde RM: Inferior rectus palsies as a manifestation of atypical third cranial nerve disease. Am Orthop J 1975; 25:122-130. 5. Rucker CW: Paralysis of the third, fourth, and sixth cranial nerves. Am J Ophthalmol 1958; 46:787-794. 6. Rucker CW: The causes of paralysis of the third, fourth, and sixth cranial nerves. Am J Ophthalmol 1966; 61:1293-1298. 7. Smith JL: The "nuclear third" question. J Clin Neuro-ophthal 1982; 2:61-63. 8. Van Dalen TW, Van Mourik-Noordenbos AM: Isolated inferior rectus paresis. A report of six cases. Neuro-ophthalmol 1984; 4:89-94. 9. Warren W, Burde, RM, Klingele, TG, et al.: Atypical oculomotor paresis. J Clin Neuro-ophthalmol 1982; 2:13-18. 10. Warwick R: Representation of the extraocular nuscles in the oculomotor nuclei of the monkey. J Corrp Neurol 1953; 98:449-503.
Language eng
Format application/pdf
Type Text
Source 1987 Walsh Proceedings
Relation is Part of Case presented at the NANOS 1987 Walsh Session, February 20-21 Contributor Primary
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Rights Management Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6xs5z7f
Contributor Primary Sedwick, Lyn A.
Contributor Secondary Pusateri, Thomas J.; Margo, Curtis E.
Setname ehsl_novel_fbw
ID 178779
Reference URL https://collections.lib.utah.edu/ark:/87278/s6xs5z7f
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