Simultaneous, Bilateral Ophthalmoplegia as the Presenting Sign of Paediatric Multiple Sclerosis: Case Report and Discussion of the Differential Diagnosis

Abstract

An 11-year-old female developed bilateral oculomotor nerve palsies without pupillary involvement and bilateral optic neuropathy as the presenting signs of paediatric multiple sclerosis (MS). Although ocular mono-neuropathies have been reported, this is the first bilateral mono-neuropathy reported in a paediatric patient due to MS. The differential diagnosis and evaluation for bilateral ophthalmoplegia are discussed in detail.

• Acute disseminated encephalomyelitis (ADEM)
• multiple sclerosis (MS)
• ophthalmoplegia
• optic neuritis
• third nerve palsy

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.