ABSTRACT
The authors present the clinical findings of a 30-year-old female and a 29-year-old male who both had isolated unilateral lateral rectus muscle palsy in neuro-Behcet's disease. The clinical feature related to isolated abduscens nerve palsy was identified by CT, systemic assessment and extraocular examination. These patients' constellation of findings appear to be unique: it does not follow any previously reported pattern of ocular manifestations of neuro-Behcet's disease.
Subject(s)
Adult , Female , Humans , Male , Abducens Nerve/physiopathology , Behcet Syndrome/complications , Eye Movements/physiology , Ophthalmoplegia/physiopathology , Ophthalmoplegia/etiology , Paralysis/physiopathology , Paralysis/etiologyABSTRACT
Carotid cavernous dural arteriovenous fistula (DAVF) usually presents with conjunctival injection, proptosis, loss of visual acuity and ophthalmoplegia. There have been some carotid cavernous DAVF case reports presenting with isolated oculomotor, abducens and trochlear nerve palsy. We experienced a patient presenting with bilateral abducens nerve palsy and no other ocular signs who was diagnosed as carotid cavernous DAVF after conventional angiography. According to this case, carotid cavernous DAVF should be considered in the differential diagnosis of isolated bilateral abducens nerve palsy, in which case conventional angiography may be helpful in diagnosis.
Subject(s)
Female , Humans , Abducens Nerve/physiopathology , Arteriovenous Fistula/complications , Carotid Artery Diseases/complications , Cavernous Sinus/diagnostic imaging , Cranial Nerve Diseases/physiopathology , Cranial Nerve Diseases/etiology , Dura Mater/blood supply , Middle Aged , Paralysis/physiopathology , Paralysis/etiologyABSTRACT
Se describen las alteraciones de las ducciones en cuatro grupos: por parálisis: III par, IV par, VI par; por hipofunción: agenesia muscular, sección traumática del músculo, debilitamiento quirúrgico excesivo, músculo suelto; por alteraciones inervacionales: síndrome de Duane, parálisis monocular de elevadores, síndrome de Moebius; por restricción: síndrome de Brown, estrabismo fijo, fibrosis del recto inferior, estrabismo tiroideo, fractura blow-out de órbita, adhesión post-quirúrgica
Subject(s)
Abducens Nerve/physiopathology , Oculomotor Muscles/physiopathology , Ophthalmic Nerve/physiopathology , Oculomotor Nerve/physiopathology , Ophthalmoplegia/diagnosis , Abducens Nerve/injuries , Oculomotor Muscles/innervation , Oculomotor Muscles/injuries , Ophthalmic Nerve/injuries , Oculomotor Nerve/injuries , Ophthalmoplegia/etiologyABSTRACT
Benign intracranial hypertension may occasionally be associated with various cranial nerve palsies. A case with multiple cranial nerve involvement is presented.