Fourth cranial nerve palsy in pediatric patients with pseudotumor cerebri

Christine Speer, Joel Pearlman, Paul H. Phillips, Michael Cooney, Michael X Repka

Research output: Contribution to journalArticle

Abstract

PURPOSE: To describe three children with acute fourth cranial nerve palsy secondary to pseudotumor cerebri. METHODS: We reviewed the medical records of children younger than 18 years who were diagnosed with pseudotumor cerebri between 1977 and 1997. Pseudotumor cerebri was defined by normal neuro-imaging, elevated intracranial pressure measured by lumbar puncture, and normal cerebrospinal fluid composition. RESULTS: Three children with pseudotumor cerebri presented with vertical diplopia and clinical signs of fourth cranial nerve palsy including a hypertropia of the affected eye, which increased with adduction and ipsilateral head tilt. The fourth cranial nerve palsy resolved after reduction of the intracranial pressure in all three children. CONCLUSIONS: Fourth cranial nerve palsy may occur in children with pseudotumor cerebri and may be a nonspecific sign of elevated intracranial pressure.

Original languageEnglish (US)
Pages (from-to)236-237
Number of pages2
JournalAmerican Journal of Ophthalmology
Volume127
Issue number2
DOIs
StatePublished - Feb 1999

Fingerprint

Trochlear Nerve Diseases
Pseudotumor Cerebri
Pediatrics
Intracranial Hypertension
Spinal Puncture
Diplopia
Strabismus
Intracranial Pressure
Medical Records
Cerebrospinal Fluid
Head

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Fourth cranial nerve palsy in pediatric patients with pseudotumor cerebri. / Speer, Christine; Pearlman, Joel; Phillips, Paul H.; Cooney, Michael; Repka, Michael X.

In: American Journal of Ophthalmology, Vol. 127, No. 2, 02.1999, p. 236-237.

Research output: Contribution to journalArticle

Speer, Christine ; Pearlman, Joel ; Phillips, Paul H. ; Cooney, Michael ; Repka, Michael X. / Fourth cranial nerve palsy in pediatric patients with pseudotumor cerebri. In: American Journal of Ophthalmology. 1999 ; Vol. 127, No. 2. pp. 236-237.
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