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Oculomotor schwannoma causing a progressive complete third-nerve palsy.

Bentley, Emily, Ved, Ronak and Hayhurst, Caroline 2019. Oculomotor schwannoma causing a progressive complete third-nerve palsy. BMJ Case Reports 12 , pp. 1-5. 10.1136/bcr-2019-230272

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Abstract

A 69-year-old woman presented with an 8-month history of diplopia and examination findings consistent with a right third-nerve palsy. Head MRI identified the presence of a 5.8 mm, nodular, isointense lesion in the suprasellar cistern, which demonstrated enhancement with gadolinium contrast. The lesion did not show any evidence of growth over a 3-month follow-up period. These MRI findings, alongside the clinical features, suggest oculomotor nerve schwannoma. Oculomotor schwannomas are a rare cause of third-nerve palsy. The presenting features and management options for oculomotor schwannomas are discussed to provide a framework for the diagnosis and management of these patients.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Publisher: BMJ Publishing Group
ISSN: 1757-790X
Funders: -
Date of Acceptance: 14 July 2019
Last Modified: 01 Aug 2022 14:00
URI: https://orca.cardiff.ac.uk/id/eprint/149149

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