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Type presentatieE-poster
TitelA curious case of recurrent transient diplopia
DoelNot many diseases are known to cause recurrent episodes of cranial nerve palsy. We discuss such an uncommon case involving multiple ocular cranial nerves over a period of two years.
MethodesA 37-year-old man presented with 4 episodes of diplopia caused by different ocular cranial nerve palsies: left trochlear nerve (April 2021), right trochlear nerve (May 2022), left abducens nerve (October 2022), inferior branch of the right oculomotor nerve (March 2023).
ResultatenWork-up including full blood analysis, lumbar puncture, single nerve fiber EMG, MRI brain, CT thorax and PET scan did not reveal any underlying etiology. All episodes resolved spontaneously. A trial with oral steroids did not result in improvement during the last two episodes.
ConclusieLiterature research showed a very similar case, in which the MRI scan showed changes in the cavernous sinus only after almost 30 years. Despite not fulfilling all criteria, Tolosa-Hunt syndrome should be considered in case of recurrent cranial nerve palsies. Another differential diagnosis to be considered in our case is the exclusionary diagnosis of idiopathic recurrent polyneuritis cranialis.
BelangenverstrengelingNee
Auteur 1
NaamVERMEULEN
InitialenL
InstituutDept. of Ophthalmology, Antwerp University Hospital
StadEdegem, Belgium
Auteur 2
NaamDe Keizer
InitialenRJW
InstituutDept. of Ophthalmology, Antwerp University Hospital + Leiden University Medical Center
StadEdegem, Belgium + Leiden, The Netherlands
Auteur 3
NaamKerstens
InitialenJ
InstituutDept. of Neurology, Antwerp University Hospital
StadEdegem, Belgium
Auteur 4
NaamVan Lint
InitialenM
InstituutDept. of Ophthalmology, Antwerp University Hospital
StadEdegem, Belgium
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