Isolated oculomotor nerve palsy related to sinusitis?
The association of sinusitis with ocular motility disorders is a seductive theory due to their close anatomical vicinity. Typically, sinusitis can influence ocular motility by affecting single muscles or a combination of muscles and/or cranial nerves due to a local inflammatory tissue reaction. Although rare, sinusitis has been suggested at least as a cause for superior-branch oculomotor palsy. We report a case of progressive, isolated, third-cranial-nerve palsy caused by an aneurysm of the posterior-communicating artery that initially was thought to be related to pansinusitis.
Sturm
Veit
V
Department of Ophthalmology, University Hospital of Zurich, Frauenklinikstrasse 24, 8091 Zurich, Switzerland. veit.sturm@usz.ch
Kordic
Helena
H
Leiba
Hana
H
Landau
Klara
K
D000328:Adult; D002533:Cerebral Angiography; D003937:Diagnosis, Differential; D005133:Eye Movements; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D015840:Oculomotor Nerve Diseases / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D020769:Posterior Cerebral Artery; D015524:Sphenoid Sinusitis / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D014057:Tomography, X-Ray Computed