At the current presentation, the patient presented with intermittent epistaxis, visual changes, bilateral
ophthalmoplegia, involuntary closure of the left eye, and ptosis of the right eye.
Ceratitis and blindness may be observed when ZZ develops in the ophthalmic branch of the trigeminal nevre, osteonecrosis and dental shedding may be observed when the maxillary or mandibular branches of the trigeminal nerve are involved, eruption in the outer ear way and hard palate and facial paralysis (Ramsey Hunt syndrome) may be observed when the facial nerve is involved and
ophthalmoplegia, optic neuritis or both may be observed when the occulomotor nerve is involved.
1,30] Examination may reveal proptosis, ptosis,
ophthalmoplegia or red eye.
7%,
ophthalmoplegia in 75%, limb weakness in 26%, respiratory failure in 17.
Neurological examination revealed apathy, somnolence, right internuclear
ophthalmoplegia (INO), bilateral positive Babinski's sign, and increased deep tendon reflexes with mild quadriparesis.
Tolosa-Hunt syndrome (THS) is a rare disorder indicated by recurrent painful
ophthalmoplegia caused by non-specific inflammation of the cavernous sinus or superior orbital fissure (SOF).
The G451E mutation was found in a patient with autosomal dominant progressive external
ophthalmoplegia (PEO) (PEOA4).
Metastatic Laryngeal Carcinoma as a Cause of Progressive
Ophthalmoplegia.
Visual loss and
ophthalmoplegia after shoulder surgery.
Ophthalmoplegia, proptosis, and lid retraction caused by cranial nerve hypertrophy in chronic inflammatory demyelinating polyradiculoneuropathy.
Because of his wide interests and reading he was as comfortable writing about Samuel Johnson, Charles Dickens, Socrates or the sculpture of Jacob Epstein as on exophthalmic
ophthalmoplegia carpal tunnel syndrome, cervical spondylosis, the non-metastatic manifestations of malignancy, speech disorders and mind-body problems, to which he made notable contributions.
Patients with mutations in the POLG gene present with a wide spectrum of disease phenotypes, including Alpers syndrome, autosomal recessive progressive external
ophthalmoplegia, sensory ataxic neuropathy with dysarthria and ophthalmoparesis, and spinocerebellar ataxia with epilepsy.
Diplopia, blepharoptosis, and
ophthalmoplegia and 3-hydroxy-3-methyl-glutaryl-CoA reductase inhibitor use.
Complete
ophthalmoplegia as a complication of acute corticosteroid-and pancuronium-associated myopathy.
In pituitary apoplexy syndrome (Figure 4), patients present with
ophthalmoplegia, headache, and visual loss due to pituitary infarction/hemorrhage.