Skin Necrosis with Oculomotor Nerve Palsy Due to a Hyaluronic Acid Filler Injection

A 64-year-old man with a midbrain cavernoma and prior bleeding presented with a 1-week history of diplopia, partial left oculomotor nerve palsy, and worsening dysmetria and right-sided weakness. MRI revealed a hemorrhagic left tectal plate and midbrain cavernoma. A left suboccipital supracerebellar transtentorial approach in the sitting position was performed for resection of his lesion utilizing the lateral mesencephalic sulcus safe entry zone. Postoperatively, he developed a partial right oculomotor nerve palsy; imaging depicted complete resection of the cavernoma. He recovered from the right third nerve palsy, weakness, and dysmetria, with significant improvement of his partial left third nerve palsy.The video can be found here: https://youtu.be/ofj8zFWNUGU.

Download Full-text

T cell acute lymphoblastic leukaemia presenting with sudden onset right oculomotor nerve palsy with normal neuroradiography and cerebrospinal fluid studies

BMJ Case Reports ◽

10.1136/bcr.01.2012.5685 ◽

2012 ◽

Vol 2012 (mar26 1) ◽

pp. bcr0120125685-bcr0120125685

Author(s):

V. R. Bhatt ◽

M. Naqi ◽

R. Bartaula ◽

S. Murukutla ◽

S. Misra ◽

...

Keyword(s):

Cerebrospinal Fluid ◽

T Cell ◽

Acute Lymphoblastic Leukaemia ◽

Lymphoblastic Leukaemia ◽

Nerve Palsy ◽

Sudden Onset ◽

Oculomotor Nerve ◽

Oculomotor Nerve Palsy

Download Full-text

Cavernous internal carotid artery aneurysm presenting with ipsilateral oculomotor nerve palsy: A case report

Radiology Case Reports ◽

10.1016/j.radcr.2021.03.008 ◽

2021 ◽

Vol 16 (6) ◽

pp. 1339-1342

Author(s):

Nizar Almaghrabi ◽

Yousef Fatani ◽

Abeer Saab

Keyword(s):

Case Report ◽

Carotid Artery ◽

Internal Carotid Artery ◽

Nerve Palsy ◽

Internal Carotid ◽

Artery Aneurysm ◽

Oculomotor Nerve ◽

Oculomotor Nerve Palsy ◽

Carotid Artery Aneurysm ◽

Internal Carotid Artery Aneurysm

Download Full-text

Oculomotor Nerve Palsy Due To Posterior Communicating Artery Aneurysm: Clipping vs Coiling

Neurochirurgie ◽

10.1016/j.neuchi.2021.03.012 ◽

2021 ◽

Author(s):

Alexandrina S. Nikova ◽

Georgios S Sioutas ◽

Katerina Sfyrlida ◽

Grigorios Tripsianis ◽

Michael Karanikas ◽

...

Keyword(s):

Nerve Palsy ◽

Artery Aneurysm ◽

Oculomotor Nerve ◽

Posterior Communicating Artery ◽

Oculomotor Nerve Palsy ◽

Aneurysm Clipping ◽

Posterior Communicating Artery Aneurysm

Download Full-text

Pituitary Apoplexy Causing Compression of Third Cranial Nerve—Management

Indian Journal of Neurosurgery ◽

10.1055/s-0039-1694849 ◽

2019 ◽

Vol 08 (02) ◽

pp. 119-122

Author(s):

Václav Masopust

Keyword(s):

Cavernous Sinus ◽

Nerve Palsy ◽

Clinical Symptoms ◽

Rapid Development ◽

Sella Turcica ◽

Oculomotor Nerve ◽

Oculomotor Nerve Palsy ◽

Future Research ◽

Third Nerve Palsy ◽

Increased Pressure

AbstractLesions of the oculomotor nerve as the first sign of pituitary adenoma are rare. The cause of such lesions without other clinical symptoms is discussed in this study. A small cohort of 4 patients (3.1%) with oculomotor nerve palsy (third nerve palsy) as the only neurologic deficit, from 129 patients who got operated upon for pituitary adenomas, is presented. In this group (mean age: 55 years, range: 36–65 years), all patients (two women and two men) underwent surgery. In two cases, there was arrested pneumatization and thickened bone. In the remaining two cases, a macroscopically visible, very solid opaque diaphragm was present, after the removal of the tumor and thickened bone. Complete adjustment was observed in all patients within 1 week after the surgery. Two factors that seem to increase the high risk for the development of oculomotor nerve palsy are that the cavernous sinus may be the only weak structure surrounding the sella turcica when the diaphragm and bone are thickened; and the rapid development of increased pressure in this region. The increased pressure on the cavernous sinus during the anatomical variations is the primary cause for lesions on the oculomotor nerve. However, this conjecture cannot be statistically demonstrated because of the small number of cases. Future research should be conducted on larger samples to increase statistical inference and generalizability.

Download Full-text