Journal article
Progressive sixth nerve palsy secondary to intracavernous arachnoid cyst and complicated by contralateral optic nerve sheath meningioma
European journal of ophthalmology, v 30(5), pp NP86-NP89
Sep 2020
PMID: 31155935
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Optic nerve sheath meningiomas and intracavernous arachnoid cysts are both fairly rare conditions, and to the best of our knowledge, have not been previously reported to co-occur in the same patient. Both can cause diplopia, but only ONSMs have been documented to demonstrate progressive worsening of ocular motility.
A 67-year-old woman with blur and diplopia demonstrated a right optic neuropathy and limited ductions bilaterally. Neuroimaging revealed a right optic nerve sheath meningioma and left intracavernous arachnoid cyst. She was conservatively managed with neurosurgical surveillance for 1.5 years, until her diplopia worsened. Ocular motility re-evaluation demonstrated a worsening left abduction deficit, suggesting interval change of the intracavernous cyst, rather than the meningioma.
There are only a few reported cases of cranial nerve VI palsy secondary to a cavernous sinus arachnoid cyst. However, this is the first reported case in a patient with a concurrent optic nerve sheath meningioma, and the first case demonstrating progressive worsening of a sixth cranial nerve palsy from an intracavernous arachnoid cyst. Determining which comorbidity caused worsening of symptoms played a critical role in the management of this patient.
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Details
- Title
- Progressive sixth nerve palsy secondary to intracavernous arachnoid cyst and complicated by contralateral optic nerve sheath meningioma
- Creators
- Kelly A Malloy - Salus UniversityErin M Draper - Salus UniversityAshley K Maglione - Salus UniversityKelly M Seidler - Salus University
- Publication Details
- European journal of ophthalmology, v 30(5), pp NP86-NP89
- Publisher
- Sage
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- The Eye Institute (TEI); Pennsylvania College of Optometry (PCO)
- Web of Science ID
- WOS:000578575700023
- Scopus ID
- 2-s2.0-85067835823
- Other Identifier
- 991022016328804721
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InCites Highlights
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- Web of Science research areas
- Ophthalmology