title: Bilateral pupil-sparing third nerve palsies as the presenting sign of multiple sclerosis.
abstract: We report the case of a young man who presented with bilateral third nerve palsies without pupillary involvement. Brain MRI demonstrated lesions in the region of the oculomotor nerves, and further evaluation led to the diagnosis of multiple sclerosis. Our case documents a rare initial clinical presentation of this demyelinating disease.
authors: Department of Ophthalmology, Mayo Foundation, Mayo Clinic, Rochester, Minnesota, USA.
authors: Loren S
authors: LS
authors: Seery
authors: Elisabeth
authors: E
authors: Hurliman
authors: Jay C
authors: JC
authors: Erie
authors: Jacqueline A
authors: JA
authors: Leavitt
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008636:Mesencephalon / Q000473:pathology; D009103:Multiple Sclerosis / Q000150:complications* / Q000473:pathology / Q000503:physiopathology*; D009802:Oculomotor Nerve / Q000473:pathology*; D015840:Oculomotor Nerve Diseases / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology*; D011680:Pupil / Q000502:physiology*