Atypical clinical presentation of oculomotor (III) nerve palsy.
The atypical clinical presentations of three patients with an oculomotor (III) nerve palsy are outlined. The first patient is a 49-year-old with a painful, pupil-sparing ophthalmoplegia of sudden onset due to a pituitary adenoma which had eroded into the cavernous sinus. The second patient is a 7-year-old with a traumatic III nerve palsy who despite full recovery of her oculomotility, has been symptomatic due to a permanent internal ophthalmoplegia. The third patient is an 8-year-old who has undergone prolonged optometric therapy for an "atypical esotropia," but in fact has a congenital III nerve palsy with oculomotor synkinesis and deep amblyopia.
D000236:Adenoma / Q000150:complications* / Q000601:surgery; D000328:Adult; D002561:Cerebrovascular Disorders / Q000150:complications; D002648:Child; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000150:complications; D003937:Diagnosis, Differential; D004948:Esotropia / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009802:Oculomotor Nerve; D009886:Ophthalmoplegia / Q000175:diagnosis* / Q000209:etiology; D010911:Pituitary Neoplasms / Q000150:complications* / Q000601:surgery; D013285:Strabismus / Q000175:diagnosis*