Title |
Isolated palsy of the superior branch of the oculomotor nerve due to chronic erosive sphenoid sinusitis. |
Creator |
Stefanis, L.; Przedborski, S. |
Affiliation |
Department of Neurology, College of Physician & Surgeons, Columbia University, New York, New York. |
Abstract |
We report one case with isolated unilateral superior branch oculomotor nerve palsy due to an erosive sphenoid sinusitis. Within 8 weeks after surgical drainage of the sphenoid sinusitis, the patient recovered fully from the superior branch oculomotor palsy. In view of the dramatic clinical improvement that followed surgery, we hypothesized a compression of the superior branch of the oculomotor nerve by the sphenoidal abscess. To our knowledge, this is the first reported case of a superior branch oculomotor nerve palsy related to an erosive sinusitis and cured by sinusotomy, a safe and simple surgical procedure. Thus, we believe that our observation bears some practical implications of clinical importance in the management of patients who present partial oculomotor nerve palsy. |
Subject |
Abscess; Older people; Older people, 80 and over; Blepharoptosis; Chronic Disease; Female; Humans; Oculomotor Nerve Diseases; Sphenoid Sinus; Sphenoid Sinusitis; Tomography, X-Ray Coputed |
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 |
225929 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6642vtm/225929 |