Eye movement abnormalities constitute an important clinical sign that can be a manifestation of dysfunction of cranial nerves III, IV, and VI (the 3 ocular motor nerves). Specific motility deficits often have highly localizing value within the neuroaxis, serving to refine a differential diagnosis and guide management. This article reviews the key anatomic concepts, clinical presentation, differ...

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/3.0/). A 64-year-old woman with a history of diabetes mellitus and smoking was admitted to the emergency department because of headache, vomiting, binocular diplopia and right-sided ptosis. Five days earlier, she had a sudden headache ...

BACKGROUND Measles Mumps Rubella (MMR) vaccination is known to cause some serious adverse events, such as fever, rash, gland inflammation and neurologic disorders. These include third and sixth cranial nerve palsies. RESULTS The case reported describes a partial recurrent oculomotor palsy associated with systemic symptoms following MMR vaccination in a healthy young child. The oculomotor pals...

Head injury is a common occurrence in motor vehicle accidents. There are numerous causes for cranial nerve injury that include head trauma or other lesions. Few studies regarding cranial nerve injury following mild head trauma (GCS: 14 - 15) exist in the literature. The oculomotor nerve is a somatic and visceral motor nerve. When it is completely injured the result is ptosis, pupils that are no...

CLINICAL CASE A 58 year-old man with a known diagnosis of a large cell lung carcinoma, developed a progressive diplopia. His examination revealed a double oculomotor nerve palsy with dilated and poorly reactive pupils. A cranial magnetic resonance showed an unique and solitary lesion in the midbrain, which presumably affected to both oculomotor nucleus and fasciculus. There were not found addit...

In order to examine the clinical usefulness of methacholine in assessing the site of ocular parasympathetic lesions, pupillary responses in man were measured in postganglionic (Adie's syndrome) and preganglionic third nerve lesions involving the pupil and in controls. From previous work with methacholine it might have been expected that greater constriction would occur in the postganglionic les...

Dr. Nelson has no financial or proprietary interest in the materials presented herein. doi: 10.3928/01913913-20121008-01 Acute fourth nerve paresis is probably the most frequent cause of acquired vertical diplopia. In this issue, Khaier et al. found that many cases of acute fourth nerve paresis have a benign etiology and clinical course. Although the most common cause of vertical diplopia relat...

purpose: to report three cases of classic cranial syndromes with involvement of the third and sixth nerves with comparison of their clinical and radiological findings and results of treatment. case report: three patients were referred to labbafinejad strabismus clinic because of diplopia and eye deviation after an attack of eclampsia (one case) and head trauma (two cases). they had extraocular ...

purpose: to describe three cases of exotropic mobius syndrome and to report outcomes of the surgical intervention. case reports: three patients including two boys and one girl were referred to our strabismus clinic. all had masked faces and non-progressive congenital bilateral facial palsy and dry eye. other abnormalities included large angle exotropia and bilateral horizontal gaze palsy. surgi...