Case report reveals isolated bilateral oculomotor nerve palsy in an elderly woman, highlighting chronic hypertension as an uncommon cause of ischemic cranial neuropathy.
Cranial nerve palsies are frequently encountered in the course of systemic diseases. However, the third cranial oculomotor nerve palsy secondary to hypertension is very rare. A 72-year-old woman presented with a complaint of proptosis of the eyes bilaterally. In her neuro-ophthalmic examination, isolated bilateral oculomotor nerve palsy was detected. Blood tests and neuroradiological imaging were within normal limits. A lumbar puncture was non-spesific. Regarding laboratory and electrophysiological results, the possible myasthenic aetiology was excluded. Together with these findings, the patient was considered to have ischemic cranial neuropathy developed secondary to chronic hypertension.
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Çelikbilek et al. (2014) studied this question.
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