| Title |
Relative Pupil-Sparing Oculomotor Nerve Palsy as the Presenting Sign of Posterior Fossa Meningioma |
| Creator |
Winterkorn, JM; Bruno, M |
| Affiliation |
Department of Ophthalmology, New York Presbyterian-Weill Cornell University Medical Center, New York, New York, USA. |
| Abstract |
We report a case of relative pupil-sparing oculomotor paresis initially attributed to ischemia because weakness of other cranial nerves was minimal and dismissed as insignificant. Neuroimaging eventually revealed a posterior fossa meningioma. The neurologic symptoms and signs disappeared immediately after resection of the tumor. The third nerve palsy was attributed to deformation of the brainstem. This case reinforces the importance of neuroimaging even in patients who have apparently isolated oculomotor palsy with features not classic for an ischemic etiology. |
| Subject |
Older people; Female; Humans; Infratentorial Neoplasms/diagnosis/physiopathology/surgery; Magnetic Resonance Imaging; Meningioma/diagnosis/physiopathology/surgery; Oculomotor Nerve Diseases/diagnosis/physiopathology; Pupil/physiology; Visual Acuity |
| Format |
application/pdf |
| Publication Type |
Journal Article |
| 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 |
| Setname |
ehsl_novel_jno |
| ID |
225199 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6tx6mg8/225199 |
