Book contents
- 55 Cases in Neurology
- 55 Cases in Neurology
- Copyright page
- Contents
- Preface
- Acknowledgements
- Section 1 Visual Disturbance
- Case 1 Weight Loss Effects on Vision and Limbs
- Case 2 Adult-Onset Visual Loss
- Case 3 A BEE of a Syndrome
- Case 4 Multiple Problems
- Case 5 Chasing Periorbital Nerves
- Case 6 High Pressure
- Case 7 Test Characteristic Limitations
- Case 8 Temporary Visual Failure
- Case 9 Chasing the Clot
- Section 2 Headache and Pain
- Section 3 Weakness
- Section 4 Behavioural and Language Changes
- Section 5 Confusion
- Section 6 Movement Disturbances
- Section 7 Acute Onset of Neurological Symptoms
- Index
- Plate Section (PDF Only)
- References
Case 5 - Chasing Periorbital Nerves
from Section 1 - Visual Disturbance
Published online by Cambridge University Press: 27 July 2023
Book contents
- 55 Cases in Neurology
- 55 Cases in Neurology
- Copyright page
- Contents
- Preface
- Acknowledgements
- Section 1 Visual Disturbance
- Case 1 Weight Loss Effects on Vision and Limbs
- Case 2 Adult-Onset Visual Loss
- Case 3 A BEE of a Syndrome
- Case 4 Multiple Problems
- Case 5 Chasing Periorbital Nerves
- Case 6 High Pressure
- Case 7 Test Characteristic Limitations
- Case 8 Temporary Visual Failure
- Case 9 Chasing the Clot
- Section 2 Headache and Pain
- Section 3 Weakness
- Section 4 Behavioural and Language Changes
- Section 5 Confusion
- Section 6 Movement Disturbances
- Section 7 Acute Onset of Neurological Symptoms
- Index
- Plate Section (PDF Only)
- References
Summary
A 65-year-old man developed a swelling of his left medial canthus. He was referred from outpatient Ear, Nose and Throat to Ophthalmology. However, prior to an Ophthalmology assessment, he developed horizontal diplopia. A neurologist confirmed a left VI cranial nerve palsy. He had visual acuity of 6/6 bilaterally. A non-contrast MRI scan of the brain was reported as normal. The diplopia resolved within two months, as confirmed by an ophthalmologist and a neurologist.
- Type
- Chapter
- Information
- 55 Cases in NeurologyCase Histories and Patient Perspectives, pp. 29 - 36Publisher: Cambridge University PressPrint publication year: 2023
References
Koukkoulli, A, Koutroumanos, N, Kidd, D. Perineural spread of cutaneous squamous cell carcinoma manifesting as ophthalmoplegia. Neuro-Ophthalmology. 2015;39(3):144–6.CrossRefGoogle ScholarPubMed
Mendenhall, WM, Amdur, RJ, Hinerman, RW et al. Skin cancer of the head and neck with perineural invasion. Am J Clin Oncol Cancer Clin Trials. 2007;30(1):93–6.Google ScholarPubMed
Vickrey, BG, Samuels, MA, Ropper, AH. How neurologists think a cognitive psychology perspective on missed diagnoses. Ann Neurol. 2010;67(4):425–33.CrossRefGoogle ScholarPubMed