A RARE PRESENTATION OF ISOLATED ABDUCENS NERVE PALSY- REVISITING DORELLOGRADENIGO'S DEBATE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 16
Abstract
PRESENTATION OF THE CASE A 25-year-old male presented with diplopia in our outpatient department. On examination left eye, had esodeviation of 45 prism diopter, limitation of abduction, (Figures 1, 2.) with face turn to left. Visual acuity recorded as 6/6, N6 in both eyes. Fundus examination showed normal fundus in both eyes. Fifteen days before the onset of diplopia, he had been treated for otitis media in other hospital. Vitals were stable and other central nervous system examinations were normal. Otolaryngological examination showed congested left tympanic membrane with air fluid level, absent mastoid tenderness with negative fistula sign and patent eustachian tube. Audiogram showed conductive hearing loss in left ear. Laboratory investigation showed leucocytosis. The magnetic resonance imaging on day of admission was normal. (Figure. 3). Computed tomography of temporal bone also did not show mastoiditis or petrositis
Authors and Affiliations
Susaritha Govindan, Geetha Kishan Siddapur
Keywords
Related Articles
- EP ID EP556237
- DOI 10.18410/jebmh/2018/295
- Views 121
- Downloads 0
SYNCHRONOUS BOWEL TUMORS - LESIONS UNCOMMON AND RARELY DIAGNOSED
INTRODUCTION An unusual case of synchronous small and large bowel adenocarcinoma is presented in a 64 year old female. Adenocarcinoma is the most common type of small bowel cancer constituting 32-54% of all malignant ent...
MIDGUT MALROTATION PRESENTING AS ACUTE INTESTINAL OBSTRUCTION IN ADULT: A RARE CASE REPORT AND LITERATURE REVIEW
Intestinal Malrotation in adults is twisting of the intestines that lead to mal positioning of the bowels and malfixation of the mesentery, blocking the digestive tract and preventing the proper passage of food. Midgut m...
HYPOTHYROIDISM AND AGEING EFFECT ON PULMONARY ARTERY SYSTOLIC PRESSURE
BACKGROUND Hypothyroidism is a cause of pulmonary artery hypertension. Increased BMI also contributes to pulmonary artery hypertension. Increasing age in healthy people is associated with increasing pulmonary artery pres...
STUDY EVALUATION OF URINE PROTEIN/URINE CREATININE RATIO FOR QUANTIFICATION OF PROTEINURIA IN RAPID AND RELIABLE DIAGNOSIS OF NEPHROTIC SYNDROME
BACKGROUND Nephrotic syndrome is a common renal disease in 2-6-year-old children characterised by proteinuria, hypoalbuminemia, oedema and hypercholesterolemia. Incidence is 2-3 /1 lakh children per year. Without treatme...
VICARIOUS RENAL EXCRETION OF ORAL IODINATED CONTRAST IN A PATIENT WITH PANCREATIC CARCINOMA
PRESENTATION OF THE CASE An 84 year old male presented with a history of chronic bladder outlet obstruction symptoms, painless jaundice, reduced appetite, weight loss & long-standing abdominal pain. IMAGING FINDINGS USG...