Isolated inferior rectus paresis secondary to a mesencephalic cavernous angioma

Andrew R. Harrison, Jonathan D. Wirtschafter

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

PURPOSE: To report a case of recurrent binocular, vertical diplopia presenting as an isolated, unilateral inferior rectus paresis occurring in a patient with a mesencephalic tegmental cavernous angioma. METHOD: Case report. A 30-year-old man with recurrent vertical diplopia underwent neuro- ophthalmic examination, laboratory examination, pharmacologic testing, and magnetic resonance imaging and angiography. RESULTS: Magnetic resonance imaging disclosed a lesion in the mesencephalon consistent with a cavernous angioma. Magnetic resonance angiography was negative. CONCLUSIONS: Isolated inferior rectus paresis is a rare phenomenon. This unique case involved a patient with recurrent inferior rectus paresis secondary to a mesencephalic cavernous angioma. The disparity between the extent of the lesion and the neuro-ophthalmologic consequences is remarkable.

Original languageEnglish (US)
Pages (from-to)617-619
Number of pages3
JournalAmerican journal of ophthalmology
Volume127
Issue number5
DOIs
StatePublished - May 1999

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