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A rare case of cavernoma presenting as fourth nerve palsy

Year: 2026

Type: article

Abstract: This is a rare case of cavernoma which presented with left fourth nerve palsy. A 36-year-old male came with sudden onset binocular vertical diplopia for 1 month. On examination, there was a restriction in intorsion on depression in left eye. Magnetic resonance imaging (MRI) of brain and orbits was suggestive of cavernoma in dorsal aspect of midbrain in the right paramedian periaqueductal region. Usually cavernomas present with seizures, headache, decrease in function, hypothalamic/hypophyseal disorders. Presentation of cavernoma in a neuro-ophthalmic clinic is rare.

Source: GMS ophthalmology cases

DOI: 10.3205/oc000273

Authors: Raju, Anjali, Shah, Virna M., Kumar M., Karthik, Chandran, Avani B.

Institution: Aravind Eye Hospital

Language: English

Topic: Vascular Malformations Diagnosis and Treatment

Subfield: Clinical Neurology

Field: Medicine

Domain: Health Sciences

Open Access status: diamond

OpenAlex ID: W7225772239

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