Cavernous sinus mass causing right 3rd and 4th nerve palsies

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Identifier 3rd_with_4th_involved
Title Cavernous sinus mass causing right 3rd and 4th nerve palsies
Subject Third (Oculomotor) Nerve Palsy; Third subnuclear; Fourth (Trochlear) Nerve Palsy
Creator Daniel R. Gold, DO, Departments of Neurology, Ophthalmology, Neurosurgery, Otolaryngology - Head & Neck Surgery, The Johns Hopkins School of Medicine
Description 25-yo-man who complained of diplopia and was initially found to have right 4th and 6th nerve palsies in the setting of a right cavernous sinus mass (subsequently diagnosed as Ewing's sarcoma). When seen in follow-up (this video), there was a new right 3rd nerve palsy, still with a right 4th nerve palsy, and improved 6th nerve palsy. Video shows right 3rd and 4th nerve palsies (very mild 6th nerve palsy too) in the setting of a right cavernous sinus syndrome. In downgaze OD, there is no clear incyclotorsion of the eye, suggesting that the right 4th nerve is involved.
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2016
Type Image/MovingImage
Format video/mp4
Rights Management Copyright 2016. 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/s6186g5w
Setname ehsl_novel_gold
Date Created 2016-08-30
Date Modified 2017-04-17
ID 187725
Reference URL https://collections.lib.utah.edu/ark:/87278/s6186g5w
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