Imaging of Ocular Motor Pathway

Tantiwongkosi, Bundhit; Hesselink, John R.

doi:10.1016/j.nic.2015.05.006

Cited by 9 publications

(3 citation statements)

References 48 publications

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“…It remains unclear why focal neurological deficits may arise following influenza infections in the presence of antiganglioside antibodies, and discrepancies still exist between our patient's symptomatic improvement and the persistence of MRI abnormalities and antiganglioside antibody positivity. Furthermore, due to the slight abnormality in the right oculomotor nerve in the follow-up examination, other pathological mechanisms such as vasculitis via direct virus invasion (22,23), tumors like orbital schwannoma, or other demyelinating diseases cannot be excluded (24). In addition, spontaneous remission was observed without the use of immunosuppressive therapy with immunoglobulins and corticosteroids, which is considered to be an appropriate treatment for inflammatory neuropathy and related diseases (25).…”

Section: Discussionmentioning

confidence: 99%

Acute Unilateral Isolated Oculomotor Nerve Palsy in an Adult Patient with Influenza A

et al. 2019

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An otherwise healthy 44-year-old woman exhibited isolated unilateral oculomotor nerve palsy accompanied by an influenza A infection. An intra-orbital MRI scan revealed that her right third intracranial nerve was enlarged and enhanced. She recovered completely during the first month after treatment with oseltamivir phosphate. Although intracranial nerve disorders that result from influenza infections are most frequently reported in children, it is noteworthy that influenza can also cause focal intracranial nerve inflammation with ophthalmoparesis in adults. These disorders can be diagnosed using intra-orbital MRI scans with appropriate sequences and through immunological assays to detect the presence of antiganglioside antibodies.

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Section: Discussionmentioning

confidence: 99%

Acute Unilateral Isolated Oculomotor Nerve Palsy in an Adult Patient with Influenza A

et al. 2019

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“…Why focal neurological deficits may arise following N. meningitidis infections remains unclear; pathological mechanisms, such as focal vasculitis via direct bacterial invasion or inflammation accompanying the effects of antibiotics, are commonly suggested (15,16). However, tumors, including orbital schwannoma, demyelinating diseases, as well as damage to the myelin sheaths and surrounding axons due to complications cannot be completely excluded (17,18). Additional testing of the CSF, which we were unable to perform, may be needed to confirm the presence of N. meningitidis , such as bacterial antigen detection tests for N. meningitidis .…”

Section: Discussionmentioning

confidence: 99%

Acute Bilateral Oculomotor Nerve Palsy in an Adult Patient with <i>Neisseria meningitidis</i>

et al. 2019

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A 69-year-old woman was admitted to our hospital with a fever, dizziness, and headache caused by Neisseria meningitidis . After ceftriaxone was administered, she suddenly developed bilateral oculomotor nerve palsy. Intra-orbital magnetic resonance imaging using appropriate sequences revealed that her bilateral third intracranial nerves were enlarged and enhanced. She achieved complete recovery by two months after additional short-term treatment with intravenous immunoglobulin and methylprednisolone. Although intracranial nerve disorders that result from bacterial meningitis are most frequently reported in children, it is noteworthy that it can also cause focal intracranial nerve inflammation with ophthalmoparesis in N. meningitidis infection in adults.

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“…301 Neuroimaging, including MRA or CTA is recommended. 302 If there is a high suspicion of aneurysm despite a normal MRA or CTA, then a catheter angiogram should be considered after a brain MRI with and without contrast and specific attention to the third nerve is performed. Tumors, including meningioma, schwannoma, and metastatic lesions, are in the differential.…”

Section: P390 Adult Strabismus Pppmentioning

confidence: 99%

Adult Strabismus Preferred Practice Pattern®

Dagi

Velez²,

Archer

et al. 2020

Ophthalmology

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The Adult Strabismus PPP was then sent for review to additional internal and external groups and individuals in August 2019. All those returning comments were required to provide disclosure of relevant relationships with industry to have their comments considered. Members of the Pediatric Ophthalmology/Strabismus Preferred Practice Pattern Panel reviewed and discussed these comments and determined revisions to the document. The following organizations and individuals returned comments.

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Imaging of Ocular Motor Pathway

Cited by 9 publications

References 48 publications

Acute Unilateral Isolated Oculomotor Nerve Palsy in an Adult Patient with Influenza A

Acute Unilateral Isolated Oculomotor Nerve Palsy in an Adult Patient with Influenza A

Acute Bilateral Oculomotor Nerve Palsy in an Adult Patient with <i>Neisseria meningitidis</i>

Adult Strabismus Preferred Practice Pattern®

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