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Updated: Aug 5, 2026
12:23
Dynamic Visual Tests to Identify and Quantify Visual Damage and Repair Following Demyelination in Optic Neuritis Patients
Published on: April 14, 2014
[Complete third nerve paralysis as clinical presentation of multiple sclerosis]
A Mínguez Castellanos1, A Espigares Molero, C Arnal García
1Servicio de Neurología, Hospital Virgen de las Nieves, Granada.
Neurologia (Barcelona, Spain)
|April 1, 1994
Summary
Acute cephalea and third nerve palsy can indicate serious conditions like posterior communicating artery aneurysms. This case highlights multiple sclerosis as an unusual cause of these symptoms in a young patient.
Area of Science:
- Neurology
- Neuro-ophthalmology
Background:
- Acute cephalea (headache) and third cranial nerve palsy with pupillary involvement are critical neurological signs.
- Posterior communicating artery aneurysms are a primary concern in this clinical presentation.
Observation:
- A 22-year-old patient presented with acute cephalea and third nerve palsy, including pupillary dysfunction.
- This constellation of symptoms is typically associated with vascular emergencies.
Findings:
- The patient's presentation was ultimately diagnosed as an unusual initial manifestation of multiple sclerosis (MS).
- This case challenges the typical differential diagnosis for acute painful ophthalmoplegia.
Implications:
- Highlights the importance of considering demyelinating diseases in the differential diagnosis of acute painful ophthalmoplegia.
- Underscores the diverse and sometimes atypical presentations of multiple sclerosis, especially in younger individuals.
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