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Updated: Mar 31, 2026

Multifocal Electroretinograms
Published on: December 4, 2011
[Palsy of CVI caused by ecchordosis physaliphora]
V D Stahl-Hoffmann1, M Gräf2, E Cesnulis3
1Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Gießen und Marburg GmbH, Standort Gießen, Friedrichstraße 18, 35385, Gießen, Deutschland. vanessa.stahl@augen.med.uni-giessen.de.
Abstract:
We report a case of symptomatic ecchordosis physaliphora (EP) in a 34-year-old woman who presented with progressive diplopia due to palsy of the left sixth cranial nerve. Repeated magnetic resonance imaging (MRI) disclosed typical characteristics of a congenital EP lesion with compression of the left abducens nerve presumably because of a secondary herniation of the arachnoid mater. We performed an augmenting combined recess resect procedure on the left eye. No progression of the lesion was observed over a period of 5 years. For differential diagnostics an EP has to be distinguished from skull base tumors, such as chordoma and chondrosarcoma.
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