| CASE REPORT |
|
| Year : 2023 | Volume
: 3
| Issue : 1 | Page : 130-132 |
|
|
Trigeminal nerve sheath tumor presenting as trochlear nerve palsy
Madhavi Bijlani, Jayasri Narayanamoorthy, Akkayasamy Kowsalya, Shanmugam Mahesh Kumar
Department of Neuro-Ophthalmology, Aravind Eye Hospitals and Postgraduate Institute of Ophthalmology, Madurai, Tamil Nadu, India
Correspondence Address:
Madhavi Bijlani
Department of Neuro-Ophthalmology, Aravind Eye Hospitals and Postgraduate Institute of Ophthalmology, 1, Anna Nagar, Madurai - 625 020, Tamil Nadu
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_2103_22
|
|
|
A 73-year-old woman presented with vertical diplopia which was diagnosed as a trigeminal nerve sheath tumor. This case was unusual because the principal symptom was a vertical diplopia due to involvement of the trochlear nerve. Trigeminal function was preserved on initial presentation. The patient was advised neuroimaging along with baseline blood investigations. On subsequent follow-ups she developed trigeminal symptoms in the form of tingling and numbness along her left cheek and below her left eye. Eventually, radiodiagnosis showed a dumbbell-shaped necrotic lesion originating from the trigeminal nerve sheath suggestive of a schwannoma. The case was then referred to a neurosurgeon for appropriate management.
|
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
