#MedicalCase
45 years old patient with palpebral ptosis and headaches. (General Medicine)
Dr. Aida Abaz Quka., FACULTY OF MEDICINE, NEUROLOGY POST GRADUATION DEGREE
Medical Case Details:
The patient complaints of headaches in the frontal region from 15 days, with blurring vision in the right eye, right palpebral ptosis. There is nonreactive midriasis in the right eye. Brain CT scan and MRI normal. No other symptoms.Discussions
Dr. Sheetal Kamble
Homeopathic Physician
Have you checked his sugar levels? I had seen few diabetic patients with similar symptoms.
Also it can be mere occular migraine.
Homeopathic Physician
Have you checked his sugar levels? I had seen few diabetic patients with similar symptoms.
Also it can be mere occular migraine.
▲ 1
17.Dec, 01:52am
Dr. Guillaume J Lamotte
Neurologist
Hello,
The symptoms are very concerning for a third nerve palsy with ptosis and mydriasis. Any oculomotor abnormality? Patient needs vessel imaging (i.e. MRA or CTA) to rule out compressive etiology such as PiCOM aneurysm if he has a third nerve palsy with pupil involvement. Other causes of third nerve palsy (i.e. microvascular in setting of diabetes, etc...) should be investigated if he does have a third nerve palsy.
Sincerely
Neurologist
Hello,
The symptoms are very concerning for a third nerve palsy with ptosis and mydriasis. Any oculomotor abnormality? Patient needs vessel imaging (i.e. MRA or CTA) to rule out compressive etiology such as PiCOM aneurysm if he has a third nerve palsy with pupil involvement. Other causes of third nerve palsy (i.e. microvascular in setting of diabetes, etc...) should be investigated if he does have a third nerve palsy.
Sincerely
▲ 1
03.Jan, 05:35am
Dr. Aida Abaz Quka
Neurologist
Thanks for the suggestion. It true that it is third cranial nerve palsy. brain CTA and MRI are normal.
Steroid therapy helped improve the situation.
Kind regards!
Neurologist
Thanks for the suggestion. It true that it is third cranial nerve palsy. brain CTA and MRI are normal.
Steroid therapy helped improve the situation.
Kind regards!
▲ 1
03.Jan, 03:30pm
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