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Complete External Ophthalmoplegia in a Case of Pseudotumor Cerebri
Author(s) -
Landan Ivan,
Policherla Haranath,
McLaurin Jasper
Publication year - 1987
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.1987.hed2710573.x
Subject(s) - pseudotumor cerebri , papilledema , medicine , acetazolamide , headaches , blurred vision , external ophthalmoplegia , visual acuity , surgery , intracranial pressure , optic nerve , cerebrospinal fluid , oculomotor nerve , neurological examination , radiology , ophthalmology , pathology , anesthesia , biochemistry , chemistry , mitochondrial dna , gene
SYNOPSIS A 28 year old woman was admitted to the hospital with a 4 month history of headaches and blurred vision and a 2 week progressive loss of visual acuity. On examination she was found to have complete external ophthalmoplegia, florid papilledema and an otherwise normal neurologic examination. Cerebrospinal fluid pressure and protein supported the diagnosis of pseudotumor cerebri. A normal cerebral angiogram and “slit‐like” ventricles on brain computed tomography supported the diagnosis. She was treated with cortico‐steroids, and acetazolamide and underwent optic nerve fenestration bilaterally. This resulted in complete resolution of the ophthalmoplegia and papilledema.