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Diplopia is better than no plopia!

Hugh E Wright1, Michael C Brodsky2, Joseph G Chacko1

  • 1Department of Ophthalmology, Jones Eye Institute, University of Arkansas for Medical Sciences (UAMS), Arkansas Children's Hospital, Little Rock, Arkansas, USA.

Survey of Ophthalmology
|April 10, 2017
PubMed
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Idiopathic intracranial hypertension (IIH) commonly causes cranial nerve VI issues. This case highlights IIH presenting with bilateral cranial nerve III paresis, suggesting severe intracranial pressure may cause this rare dysfunction.

Area of Science:

  • Neurology
  • Ophthalmology

Background:

  • Idiopathic intracranial hypertension (IIH) is a neurological disorder characterized by increased intracranial pressure without a clear cause.
  • The most common neurological sign of IIH is cranial nerve VI (abducens nerve) palsy, leading to double vision.

Observation:

  • This report details a rare case of IIH presenting with bilateral cranial nerve III (oculomotor nerve) paresis.
  • Cranial nerve III palsy affects eye movement, eyelid position, and pupil size.

Findings:

  • The patient's presentation with bilateral cranial nerve III dysfunction is an infrequent manifestation of IIH.
  • Literature review suggests a correlation between severe intracranial pressure elevation in IIH and the occurrence of cranial nerve III dysfunction.

Implications:

Keywords:
idiopathic intracranial hypertensionintracranial pressureoculomotor nerve palsypediatric pseudotumor cerebri

Related Experiment Videos

  • This case expands the spectrum of cranial nerve involvement in idiopathic intracranial hypertension.
  • Recognizing cranial nerve III paresis as a potential sign of IIH is crucial for timely diagnosis and management.
  • Further research is warranted to understand the mechanisms linking elevated intracranial pressure to cranial nerve III palsy in IIH.