Clinical Reasoning: A 74-Year-Old Woman Presenting With Monocular Ptosis And Binocular Diplopia.
Zhenghui LiuWei Wei ZhangPiaoyu DaiXiaoyan LongLu ShenYue-Bei LuoPublished in: Neurology (2023)
A 74-year-old woman presented with acute onset right ptosis and binocular diplopia. Computed tomography scan showed low density lesions in the bilateral basal ganglia and adjacent to lateral ventricles. Intracranial aneurysm was not detected. This case highlights the importance of neurologic localization of ophthalmoplegia based on physical examination and the microanatomy of the oculomotor nerve.
Keyphrases
- computed tomography
- liver failure
- positron emission tomography
- case report
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- magnetic resonance imaging
- respiratory failure
- physical activity
- dual energy
- mental health
- aortic dissection
- drug induced
- contrast enhanced
- optic nerve
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- magnetic resonance
- optical coherence tomography
- intensive care unit
- pet ct