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...

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Autores principales: Gupta, Sumeet, Ellis, Brian, Hixenbaugh, Alison, Bonsall, Dean
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
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.
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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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