[Palsy of CVI caused by ecchordosis physaliphora].
We report a case of symptomatic ecchordosis physaliphora (EP) in a 34-year-old woman who presented with progressive diplopia due to palsy of the left sixth cranial nerve. Repeated magnetic resonance imaging (MRI) disclosed typical characteristics of a congenital EP lesion with compression of the left abducens nerve presumably because of a secondary herniation of the arachnoid mater. We performed an augmenting combined recess resect procedure on the left eye. No progression of the lesion was observed over a period of 5 years. For differential diagnostics an EP has to be distinguished from skull base tumors, such as chordoma and chondrosarcoma.
Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Gießen und Marburg GmbH, Standort Gießen, Friedrichstraße 18, 35385, Gießen, Deutschland. vanessa.stahl@augen.med.uni-giessen.de.
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Stahl-Hoffmann
Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Gießen und Marburg GmbH, Standort Gießen, Friedrichstraße 18, 35385, Gießen, Deutschland.
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Gräf
Neurochirurgie Zürich, Klinik Hirslanden, Kappelistrasse 35, 8032, Zürich, Schweiz.
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Cesnulis
Medizinisch Radiologisches Institut Zürich, Bahnhofplatz 3, 8001, Zürich, Schweiz.
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Schuknecht
Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Gießen und Marburg GmbH, Standort Gießen, Friedrichstraße 18, 35385, Gießen, Deutschland.
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Lorenz
D020434:Abducens Nerve Diseases / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D000328:Adult; D003937:Diagnosis, Differential; D004172:Diplopia / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D005260:Female; D006222:Hamartoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome
Abducens nerve palsy; Arachnoid herniation; Chondrosarcoma; Chordoma; Clivus