Bilateral congenital third cranial nerve palsy.
We describe a patient in whom bilateral congenital third cranial nerve palsy was diagnosed at 2 weeks of age. The ptosis was treated at 3 weeks with bilateral eyelid suspension surgery, and surgical repair of the exotropia was done at 4 months. To our knowledge this is the fourth reported case of this condition. It was probably caused by a single lesion involving the oculomotor and possibly the trochlear nuclei in the brain stem. Magnetic resonance imaging scans supported this hypothesis and suggested other central nervous system anomalies.
Flanders
M
M
Department of Ophthalmology, Montreal Children's Hospital, McGill University, PQ.
Watters
G
G
Draper
J
J
O'Gorman
A
A
D002675:Child, Preschool; D003389:Cranial Nerve Diseases / Q000151:congenital; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009802:Oculomotor Nerve / Q000473:pathology; D009886:Ophthalmoplegia / Q000151:congenital* / Q000601:surgery; D012029:Refraction, Ocular