Tags

Type your tag names separated by a space and hit enter

Ophthalmoparesis in idiopathic intracranial hypertension.
Am J Ophthalmol. 2006 Nov; 142(5):878-80.AJ

Abstract

PURPOSE

To report unusual ocular motility disturbances in the setting of idiopathic intracranial hypertension (IIH).

DESIGN

Interventional case series.

METHODS

Two cases with IIH and unusual ophthalmopareses are reported.

RESULTS

Two patients with confirmed IIH presented with headache, diplopia, and papilledema. The first patient had bilateral sixth nerve palsies and a partial right third nerve palsy, which resolved rapidly after a cerebro spinal fluid (CSF) shunting procedure; the second patient had alternating skew deviation and upbeat nystagmus. Both cases had normal brain magnetic resonance imaging (MRI) and magnetic resonance venography (MRV) and normal CSF contents, ruling out a secondary cause of intracranial hypertension.

CONCLUSIONS

These exceptional vertical and horizontal ophthalmopareses in the setting of IIH may be related directly to very elevated CSF pressures and may be secondary to altered CSF flow in the posterior fossa.

Authors+Show Affiliations

Department of Neurology, Massachusetts General Hospital, Harvard University School of Medicine, Boston, Massachusetts, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17056379

Citation

Bruce, Beau B., et al. "Ophthalmoparesis in Idiopathic Intracranial Hypertension." American Journal of Ophthalmology, vol. 142, no. 5, 2006, pp. 878-80.
Bruce BB, Newman NJ, Biousse V. Ophthalmoparesis in idiopathic intracranial hypertension. Am J Ophthalmol. 2006;142(5):878-80.
Bruce, B. B., Newman, N. J., & Biousse, V. (2006). Ophthalmoparesis in idiopathic intracranial hypertension. American Journal of Ophthalmology, 142(5), 878-80.
Bruce BB, Newman NJ, Biousse V. Ophthalmoparesis in Idiopathic Intracranial Hypertension. Am J Ophthalmol. 2006;142(5):878-80. PubMed PMID: 17056379.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ophthalmoparesis in idiopathic intracranial hypertension. AU - Bruce,Beau B, AU - Newman,Nancy J, AU - Biousse,Valérie, PY - 2006/04/24/received PY - 2006/05/19/revised PY - 2006/06/01/accepted PY - 2006/10/24/pubmed PY - 2006/12/9/medline PY - 2006/10/24/entrez SP - 878 EP - 80 JF - American journal of ophthalmology JO - Am J Ophthalmol VL - 142 IS - 5 N2 - PURPOSE: To report unusual ocular motility disturbances in the setting of idiopathic intracranial hypertension (IIH). DESIGN: Interventional case series. METHODS: Two cases with IIH and unusual ophthalmopareses are reported. RESULTS: Two patients with confirmed IIH presented with headache, diplopia, and papilledema. The first patient had bilateral sixth nerve palsies and a partial right third nerve palsy, which resolved rapidly after a cerebro spinal fluid (CSF) shunting procedure; the second patient had alternating skew deviation and upbeat nystagmus. Both cases had normal brain magnetic resonance imaging (MRI) and magnetic resonance venography (MRV) and normal CSF contents, ruling out a secondary cause of intracranial hypertension. CONCLUSIONS: These exceptional vertical and horizontal ophthalmopareses in the setting of IIH may be related directly to very elevated CSF pressures and may be secondary to altered CSF flow in the posterior fossa. SN - 0002-9394 UR - https://www.unboundmedicine.com/medline/citation/17056379/Ophthalmoparesis_in_idiopathic_intracranial_hypertension_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9394(06)00693-3 DB - PRIME DP - Unbound Medicine ER -