1/2. Isolated left oculomotor nerve palsy following measles.A 10-month-old boy was admitted with ptosis on the left eyelid, which rapidly occurred following a disease with rash about 20 days before admission to our hospital. By history, none of the vaccinations had been performed. On physical examination, his vital signs were stable, and he had marasmus. Isolated left oculomotor nerve palsy was diagnosed. Cranial magnetic resonance imaging was normal. serum IgM antibody to measles virus was positive. oculomotor nerve palsy markedly improved on the 15th day of follow-up, and complete improvement was noted on the second month of follow-up. To our knowledge, this is the first case of oculomotor nerve palsy following measles.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/2. Burkitt's lymphoma presenting as oculomotor palsy in an hiv-positive patient.PURPOSE: To report a case of Burkitt's lymphoma (BL) in an hiv-positive patient presenting as complete third nerve palsy. methods: Interventional case report. A 34-year-old man presented with headache, left eye pain, diplopia, and complete ptosis of several hours' duration. Left eye examination disclosed complete third nerve palsy with pupillary involvement. Significant hepatomegalia was noted at physical examination and computed tomography (CT) scan of the abdomen showed multiple solid lesions. RESULTS: liver biopsy was consistent with Burkitt's lymphoma. bone marrow biopsy was normal. brain imaging was normal. work-up also revealed positivity for human immunodeficiency virus. Chemotherapy treatment was started. Two months later, ocular motility examination was normal. CONCLUSIONS: Although BL affects the central nervous system very rarely, BL should be considered in any immunosuppressed patient presenting with diplopia or ophthalmoparesis.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |