Unilateral 3rd, 4th, and 6th nerve palsies due to cavernous sinus meningioma

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Identifier 3rd_4th_6th_NP_from_cavernous_sinus_meningioma
Title Unilateral 3rd, 4th, and 6th nerve palsies due to cavernous sinus meningioma
Subject Abnormal Range, Third Nerve Palsy, Aberrant Regeneration, Fourth Nerve Palsy, Sixth Nerve Palsy, Jerk Nystagmus, Downbeat Nystagmus, Gaze Evoked Nystagmus, Abnormal Saccades
Creator Daniel R. Gold, DO, Departments of Neurology, Ophthalmology, Neurosurgery, Otolaryngology - Head & Neck Surgery, The Johns Hopkins School of Medicine
Description This is a 50-year-old woman presenting with a partial 3rd nerve palsy (mild pupil involvement), partial 6th nerve palsy, and no clear incyclotorsion with downgaze, suggestive of additional 4th nerve palsy, all on the left. With compressive lesions involving the 3rd nerve, often aberrant regeneration develops - in this case, injury to the left 3rd nerve miswiring so that some of the fibers destined for the left medial rectus instead went to the left levator palpebrae. When adducting the left eye, the eyelid elevated slightly. There was no evidence of aberrant regeneration causing any pupillary or motility findings.
Imaging Number of Videos and legend for each: 1, Patient with unilateral ophthalmoparesis due to meningioma compressing the left cavernous sinus
Contributor Daniel R. Gold, D.O.
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2017
Type Image/MovingImage
Format video/mp4
Rights Management Copyright 2017. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Language eng
ARK ark:/87278/s6wx16kc
Setname ehsl_novel_gold
Date Created 2017-04-04
Date Modified 2018-02-27
ID 1213433
Reference URL https://collections.lib.utah.edu/ark:/87278/s6wx16kc
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