Gliomatosis presenting as a relative pupil-sparing third nerve palsy in a hypertensive diabetic.
We present an unusual case of a 41-year-old male patient who presented to the ophthalmology department giving a 3-month history of right sided ptosis, weight loss, diplopia and headache. Clinical examination revealed a right sided relative pupil-sparing third nerve palsy. MRI scan of brain showed thickening of both third nerves. Further investigations revealed a glioblastoma.
Department of Cardiology, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK. sheikhusmanejaz@yahoo.co.uk
U
U
Sheikh
C J S
CJ
Price
N J
NJ
Gutowski
D000328:Adult; D003390:Cranial Nerve Neoplasms / Q000150:complications / Q000175:diagnosis*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D005909:Glioblastoma / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D015840:Oculomotor Nerve Diseases / Q000150:complications / Q000175:diagnosis*