Tzu Chi Medical Journal
Volume 19, Issue 4 , Pages 253-256, December 2007

Unilateral Abducens Nerve Palsy in Increased Intracranial Pressure Caused by Brain Neoplasm

  • Zei-Lun Huang

      Affiliations

    • Department of Ophthalmology, Buddhist Tzu Chi General Hospital and Tzu Chi University, Hualien, Taiwan
    • ,
  • Chen-Nen Chang

      Affiliations

    • First Division of Neurosurgery, Department of Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan
    • ,
  • Min-Muh Sheu

      Affiliations

    • Department of Ophthalmology, Buddhist Tzu Chi General Hospital and Tzu Chi University, Hualien, Taiwan
    • ,
  • Rong-Kung Tsai

      Affiliations

    • Department of Ophthalmology, Buddhist Tzu Chi General Hospital and Tzu Chi University, Hualien, Taiwan
    • Corresponding Author InformationCorresponding author. Department of Ophthalmology, Buddhist Tzu Chi General Hospital, 707, Section 3, Chung-Yang Road, Hualien, Taiwan

Received 3 May 2007; received in revised form 13 June 2007; accepted 7 August 2007.

Abstract 

A 45-year-old woman with a 2-year history of chronic headaches and intermittent transient obscured vision presented with acute onset of diplopia for 2 weeks. Ophthalmologic examination showed esotropia due to right abducens nerve palsy and bilateral chronic papilledema. Brain magnetic resonance imaging demonstrated a meningioma in the left parasagittal frontal region causing a right shift of the anterior midline and compression of the lateral ventricle. The tumor was completely removed and her diplopia and esotropia disappeared. At the 2-month follow-up, papilledema had subsided. Acute onset of esotropia resulting from right abducens nerve palsy may be an ominous sign of brain tumor.

keywords:  Abducens nerve palsy , Esotropia , Increased intracranial pressure (IICP) , Meningioma

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PII: S1016-3190(10)60025-0

doi:10.1016/S1016-3190(10)60025-0

Tzu Chi Medical Journal
Volume 19, Issue 4 , Pages 253-256, December 2007

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