title: Simultaneous, Bilateral Ophthalmoplegia as the Presenting Sign of Paediatric Multiple Sclerosis: Case Report and Discussion of the Differential Diagnosis.
abstract: An 11-year-old female developed bilateral oculomotor nerve palsies without pupillary involvement and bilateral optic neuropathy as the presenting signs of paediatric multiple sclerosis (MS). Although ocular mono-neuropathies have been reported, this is the first bilateral mono-neuropathy reported in a paediatric patient due to MS. The differential diagnosis and evaluation for bilateral ophthalmoplegia are discussed in detail.
authors.affiliation: Neuro-Ophthalmology Service, Wills Eye Institute Philadelphia, Pennsylvania USA.
authors.forename: Murtaza K
authors.initials: MK
authors.lastname: Adam
authors.affiliation: Neuro-Ophthalmology Service, Wills Eye Institute Philadelphia, Pennsylvania USA.
authors.forename: Kelly
authors.initials: K
authors.lastname: Krespan
authors.affiliation: Neuro-Ophthalmology Service, Wills Eye Institute Philadelphia, Pennsylvania USA.
authors.forename: Mark L
authors.initials: ML
authors.lastname: Moster
authors.affiliation: Neuro-Ophthalmology Service, Wills Eye Institute Philadelphia, Pennsylvania USA.
authors.forename: Robert C
authors.initials: RC
authors.lastname: Sergott
keywords: Acute disseminated encephalomyelitis (ADEM); multiple sclerosis (MS); ophthalmoplegia; optic neuritis; third nerve palsy