Severe unilateral abducens nerve palsy from cavernous sinus carotid vascular ectasia
PURPOSE: Carotid cavernous sinus ectasia is a rare cause of abducens nerve palsy. OBSERVATION: We present a case of severe unilateral progressive esotropia resulting from cavernous sinus carotid vascular ectasia in a 67 y/o female. She had progressive esotropia over the years with no neuroimaging de...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5956740/ https://www.ncbi.nlm.nih.gov/pubmed/29780954 http://dx.doi.org/10.1016/j.ajoc.2018.04.006 |
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author | Gupta, Sumeet Ellis, Brian Hixenbaugh, Alison Bonsall, Dean |
author_facet | Gupta, Sumeet Ellis, Brian Hixenbaugh, Alison Bonsall, Dean |
author_sort | Gupta, Sumeet |
collection | PubMed |
description | PURPOSE: Carotid cavernous sinus ectasia is a rare cause of abducens nerve palsy. OBSERVATION: We present a case of severe unilateral progressive esotropia resulting from cavernous sinus carotid vascular ectasia in a 67 y/o female. She had progressive esotropia over the years with no neuroimaging despite having regular ophthalmic care. Magnetic resonance imaging determined the etiology of her chronic severe esotropia. CONCLUSION AND IMPORTANCE: Carotid cavernous sinus ectasia should be considered in the differential of severe progressive unilateral abducens nerve palsy. Magnetic resonance imaging with magnetic resonance angiography is important to determine etiology of severe progressive esotropia. |
format | Online Article Text |
id | pubmed-5956740 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-59567402018-05-18 Severe unilateral abducens nerve palsy from cavernous sinus carotid vascular ectasia Gupta, Sumeet Ellis, Brian Hixenbaugh, Alison Bonsall, Dean Am J Ophthalmol Case Rep Case report PURPOSE: Carotid cavernous sinus ectasia is a rare cause of abducens nerve palsy. OBSERVATION: We present a case of severe unilateral progressive esotropia resulting from cavernous sinus carotid vascular ectasia in a 67 y/o female. She had progressive esotropia over the years with no neuroimaging despite having regular ophthalmic care. Magnetic resonance imaging determined the etiology of her chronic severe esotropia. CONCLUSION AND IMPORTANCE: Carotid cavernous sinus ectasia should be considered in the differential of severe progressive unilateral abducens nerve palsy. Magnetic resonance imaging with magnetic resonance angiography is important to determine etiology of severe progressive esotropia. Elsevier 2018-04-14 /pmc/articles/PMC5956740/ /pubmed/29780954 http://dx.doi.org/10.1016/j.ajoc.2018.04.006 Text en © 2018 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case report Gupta, Sumeet Ellis, Brian Hixenbaugh, Alison Bonsall, Dean Severe unilateral abducens nerve palsy from cavernous sinus carotid vascular ectasia |
title | Severe unilateral abducens nerve palsy from cavernous sinus carotid vascular ectasia |
title_full | Severe unilateral abducens nerve palsy from cavernous sinus carotid vascular ectasia |
title_fullStr | Severe unilateral abducens nerve palsy from cavernous sinus carotid vascular ectasia |
title_full_unstemmed | Severe unilateral abducens nerve palsy from cavernous sinus carotid vascular ectasia |
title_short | Severe unilateral abducens nerve palsy from cavernous sinus carotid vascular ectasia |
title_sort | severe unilateral abducens nerve palsy from cavernous sinus carotid vascular ectasia |
topic | Case report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5956740/ https://www.ncbi.nlm.nih.gov/pubmed/29780954 http://dx.doi.org/10.1016/j.ajoc.2018.04.006 |
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