title: Isolated painful third nerve palsy.
abstract: A 50-year-old woman presented with an acute painful complete third nerve palsy involving the pupil. Noninvasive imaging ruled out an aneurysmal compression of the third nerve, and brain magnetic resonance imaging demonstrated an intrinsic lesion of the third nerve. Work-up remained negative. All symptoms and signs resolved with steroids. In this case review, we briefly discuss the management of isolated third nerve palsies.
authors.affiliation: Department of Neurosurgery, Emory University School of Medicine, Atlanta, GA, USA.
authors.forename: Luis M
authors.initials: LM
authors.lastname: Tumialán
authors.forename: Patricia
authors.initials: P
authors.lastname: Hudgins
authors.forename: Valérie
authors.initials: V
authors.lastname: Biousse
mesh_terms: D003663:Decision Trees; D004172:Diplopia / Q000209:etiology*; D005260:Female; D007839:Functional Laterality; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D015840:Oculomotor Nerve Diseases / Q000150:complications / Q000209:etiology* / Q000473:pathology; D010146:Pain / Q000209:etiology; D013256:Steroids / Q000627:therapeutic use
chemical_list: D013256:Steroids