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Idiopathic unilateral third nerve palsy with pupillary sparring in 10-year-old child -a case report


ABSTRACT:

Introduction and importance

Aneurysm, diabetes mellitus, central nervous system (CNS) infections, pituitary tumors, and ischemia alterations are all potential causes of unilateral oculomotor nerve palsy, a common clinical disease.

Case presentation

A 10-year-old child presented with right eyelid ptosis and restricted eye movements associated with diplopia and pain in the right eye. Brain imaging and laboratory tests revealed no obstruction, infection, or hypercoagulable state. The condition was labeled as idiopathic. A patient was diagnosed with ptosis through a sling procedure and after 2 and 4 weeks of follow-up was told he had mild anemia. The patient was prescribed ferrous sulfate 8mg once daily for 4 months and his condition improved.

Clinical discussion

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SUBMITTER: Khan Q 

PROVIDER: S-EPMC9577865 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature