Recurrent Alternating Oculomotor Nerve Palsy: An Unusual Presentation of Parasagittal Meningioma

Abstract

We present a previously unreported case of 57-year-old man suffering from diplopia. Motility assessment revealed a total right oculomotor nerve palsy that spontaneously resolved in about 10–18 days. Three years later, sudden oculomotor nerve palsy occurred in his left eye and complete resolution with out any treatment was observed after a month. Five years from the second episode there was a further recurrence in the right eye. Magnetic resonance imaging demonstrated a parasagittal meningioma.

• Magnetic resonance imaging
• meningioma
• oculomotor nerve palsy
• peritumoural oedema

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

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