Unilateral abducens nerve palsy in increased intracranial pressure caused by brain neoplasm

  • Zei Lun Huang
  • , Chen Nen Chang
  • , Min Muh Sheu
  • , Rong Kung Tsai*
  • *Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

Abstract

A 45-year-old woman with a 2-year history of chronic headaches and intermittent transient obscured vision presented with acute onset of diplopia for 2 weeks. Ophthalmologic examination showed esotropia due to right abducens nerve palsy and bilateral chronic papilledema. Brain magnetic resonance imaging demonstrated a meningioma in the left parasagittal frontal region causing a right shift of the anterior midline and compression of the lateral ventricle. The tumor was completely removed and her diplopia and esotropia disappeared. At the 2-month follow-up, papilledema had subsided. Acute onset of esotropia resulting from right abducens nerve palsy may be an ominous sign of brain tumor.

Original languageEnglish
Pages (from-to)253-256
Number of pages4
JournalTzu Chi Medical Journal
Volume19
Issue number4
DOIs
StatePublished - 12 2007
Externally publishedYes

Keywords

  • Abducens nerve palsy
  • Esotropia
  • Increased intracranial pressure (IICP)
  • Meningioma

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