Isolated pupil-sparing third-nerve palsy as the presenting sign of multiple sclerosis

N J Newman; S Lessell

doi:10.1001/archneur.1990.00530070117021

Isolated pupil-sparing third-nerve palsy as the presenting sign of multiple sclerosis

Arch Neurol. 1990 Jul;47(7):817-8. doi: 10.1001/archneur.1990.00530070117021.

Authors

N J Newman¹, S Lessell

Affiliation

¹ Neuro-ophthalmology Unit, Massachusetts Eye and Ear Infirmary, Boston 02114.

PMID: 2357166
DOI: 10.1001/archneur.1990.00530070117021

Abstract

A 27-year-old man presented with an isolated, pupil-sparing, partial third-nerve palsy. Etiologic investigations proved unrevealing. Subsequent development of an optic neuropathy prompted magnetic resonance imaging, which confirmed the clinical suspicion of multiple sclerosis. Rarely does multiple sclerosis present with oculomotor nerve involvement.

Publication types

Case Reports

MeSH terms

Adult
Humans
Magnetic Resonance Imaging
Male
Multiple Sclerosis / complications
Multiple Sclerosis / diagnosis*
Oculomotor Nerve Diseases / diagnosis*
Oculomotor Nerve Diseases / etiology
Pupil