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Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
Gliomatosis presenting as a relative pupil-sparing third nerve palsy in a hypertensive diabetic
  1. U Sheikh1,
  2. CJS Price2,
  3. NJ Gutowski2
  1. 1Department of Cardiology, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK
  2. 2Department of Neurology, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK
  1. Correspondence to U Sheikh, sheikhusmanejaz{at}yahoo.co.uk

Summary

We present an unusual case of a 41-year-old male patient who presented to the ophthalmology department giving a 3-month history of right sided ptosis, weight loss, diplopia and headache. Clinical examination revealed a right sided relative pupil-sparing third nerve palsy. MRI scan of brain showed thickening of both third nerves. Further investigations revealed a glioblastoma.

https://doi.org/10.1136/bcr.04.2010.2930

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.