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How to Create and Use Binocular Rivalry
Published on: November 10, 2010
Double vision in a child
I A Mehkri1, S Awner, S E Olitsky
1Department of Ophthalmology, Children's Hospital of Buffalo, State University of New York at Buffalo, 14222, USA.
Survey of Ophthalmology
|August 31, 1999
Summary
A rare case of a 10-year-old boy with oculomotor nerve palsy due to an intracranial aneurysm was successfully treated with neurosurgical clipping, highlighting the importance of prompt diagnosis.
Area of Science:
- Neuro-ophthalmology
- Pediatric Neurology
- Neurosurgery
Background:
- Oculomotor nerve palsy (cranial nerve III palsy) can be caused by various factors, including vascular compression.
- Intracranial aneurysms are rare causes of oculomotor nerve palsy, especially in pediatric populations.
Observation:
- A 10-year-old boy presented with acute onset complete left oculomotor nerve palsy.
- Diagnostic workup, including neuroimaging and cerebral angiography, identified a small intracranial aneurysm as the causative lesion compressing the third nerve.
Findings:
- Neurosurgical intervention involving clipping of the identified intracranial aneurysm led to complete resolution of the oculomotor nerve palsy.
- This case underscores the potential for intracranial aneurysms to manifest as oculomotor nerve palsy even in young patients.
Implications:
- The findings emphasize the critical need for thorough diagnostic evaluation in pediatric patients presenting with cranial nerve palsies to rule out serious underlying pathologies like aneurysms.
- Early diagnosis and prompt neurosurgical management are crucial for favorable outcomes and preventing long-term neurological deficits in such rare pediatric cases.
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