Isolated third cranial nerve palsy in benign idiopathic intracranial hypertension.

Autor:	Vellingiri S; Department of General Medicine, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth (Deemed to be University), Pondicherry, India., Selvaraj S; Department of General Medicine, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth (Deemed to be University), Pondicherry, India drsethuraj2016@gmail.com., Raveekumaran V; Department of General Medicine, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth (Deemed to be University), Pondicherry, India.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2025 Jan 02; Vol. 18 (1). Date of Electronic Publication: 2025 Jan 02.
DOI:	10.1136/bcr-2024-260745
Abstrakt:	Idiopathic intracranial hypertension (IIH) is marked by increased intracranial pressure without any accompanying evidence of clinical, imaging or laboratory findings of intracranial pathology. In addition to headache, nausea and vomiting, typical symptoms might also include diplopia, photophobia and blurred vision. Third nerve palsy is rarely linked to IIH, although sixth nerve palsy is reported in the majority of individuals with IIH. This paper describes the unique case of a woman patient in her 50s with solitary IIH-related oculomotor nerve palsy. Dilated pupils, ptosis and medial rectus palsy of the right side were observed during the neurological examination, and grade 1 papilledema was found during the fundus examination. Based on the features of elevated intracranial pressure observed on MRI/magnetic resonance venography and CT scans, IIH was recognised as the most plausible explanation for the patient's symptoms. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2025. No commercial re-use. See rights and permissions. Published by BMJ Group.)
Databáze:	MEDLINE
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