Dermoid of cavernous sinus resulting in isolated oculomotor nerve palsy.
Intracranial dermoid cysts and acquired oculomotor nerve palsies are individually rare in childhood. This report describes a 4-year-old boy with acute oculomotor nerve palsy and pupillary sparing secondary to a dermoid within the lateral wall of the cavernous sinus. The clinical signs resolved after complete surgical excision of the tumor with no evidence of recurrence on computed tomography 1 year later. This is the first case report in childhood of a dermoid within the cavernous sinus and of an isolated oculomotor nerve palsy due to a dermoid cyst.
North
K N
KN
Department of Neurology, Children's Hospital, Sydney, Australia.
Antony
J H
JH
Johnston
I H
IH
D001763:Blepharoptosis / Q000209:etiology / Q000473:pathology / Q000601:surgery; D001932:Brain Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D002426:Cavernous Sinus / Q000473:pathology / Q000601:surgery; D002675:Child, Preschool; D003884:Dermoid Cyst / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009408:Nerve Compression Syndromes / Q000209:etiology / Q000473:pathology / Q000601:surgery; D009460:Neurologic Examination; D009802:Oculomotor Nerve / Q000473:pathology; D015840:Oculomotor Nerve Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed