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Type de présentationE-poster
TitreA curious case of recurrent transient diplopia
ButNot 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.
MéthodesA 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).
RésultatsWork-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.
ConclusionLiterature 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.
Conflit d'intérêtNon
Auteur 1
NomVERMEULEN
InitialesL
InstitutDept. of Ophthalmology, Antwerp University Hospital
VilleEdegem, Belgium
Auteur 2
NomDe Keizer
InitialesRJW
InstitutDept. of Ophthalmology, Antwerp University Hospital + Leiden University Medical Center
VilleEdegem, Belgium + Leiden, The Netherlands
Auteur 3
NomKerstens
InitialesJ
InstitutDept. of Neurology, Antwerp University Hospital
VilleEdegem, Belgium
Auteur 4
NomVan Lint
InitialesM
InstitutDept. of Ophthalmology, Antwerp University Hospital
VilleEdegem, Belgium
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