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A Subtle Sighting: Acute Midbrain Infarction Presenting as Isolated Medial Rectus Palsy

Year: 2025
Type: article
Study design: Case Report
Abstract: Isolated ocular motor palsy involving one extraocular muscle is a rare clinical manifestation of cerebrovascular accident and is more commonly attributed to orbital trauma and muscular disease. Oftentimes, diplopia is the only symptom reported by patients. Differentiating between monocular and binocular diplopia is a fundamental step in the diagnostic pathway. Furthermore, a cautious and detailed neurological examination is required. We present a case of a 64-year-old male with isolated left medial rectus palsy secondary to an acute midbrain infarction, with no other manifestations or symptoms of acute stroke.
Source: Cureus
Language: English
Field: Medicine
Open Access status: diamond
OpenAlex ID: W4412968633
FWCI:
Cites: 12
Cited by:
Related to: 10