title: [Stress-related vertical double vision and ptosis].
abstract: A 43-year-old patient presented to our department because her left eyelid had exhibited drooping to varying extents for 2-3 months. Furthermore, in extreme positions or after rapid eye movement, she perceived diplopic images and was sensitive to light. The diagnosis of sphenoid meningioma was reached. Subsequently two rounds of radiopeptide therapy with (90)Y-DOTATOC (somatostatin analog) were administered within 3 months. This treatment approach led to a reduction of tumor volume in our patient as well as clinical improvement followed by stabilization.
authors.affiliation: Augenklinik, Universitätsspital Basel, Basel, Schweiz. PalmowskiA@uhbs.ch
authors.forename: A M
authors.initials: AM
authors.lastname: Palmowski-Wolfe
authors.forename: L
authors.initials: L
authors.lastname: Kappos
authors.forename: J
authors.initials: J
authors.lastname: Müller-Brand
authors.forename: C
authors.initials: C
authors.lastname: Buitrago-Tellez
authors.forename: A
authors.initials: A
authors.lastname: Merlo
mesh_terms: D000328:Adult; D001763:Blepharoptosis / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D004172:Diplopia / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D008577:Meningeal Neoplasms / Q000150:complications* / Q000175:diagnosis*; D008579:Meningioma / Q000150:complications* / Q000175:diagnosis*; D018908:Muscle Weakness / Q000175:diagnosis / Q000209:etiology; D013315:Stress, Psychological / Q000150:complications* / Q000175:diagnosis
references.citation: Neurology. 1989 Sep;39(9):1150-4
references.pmid: 2771063
references.citation: J Neurosurg. 2007 Nov;107(5):937-44
references.pmid: 17977264
references.citation: Eye (Lond). 2006 Jul;20(7):840-3
references.pmid: 15999132
references.citation: J Neurol Neurosurg Psychiatry. 2003 Mar;74(3):393
references.pmid: 12588944
references.citation: Anticancer Res. 2006 Jan-Feb;26(1B):703-7
references.pmid: 16739341
references.citation: Br J Ophthalmol. 1996 Feb;80(2):177-81
references.pmid: 8814752