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

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ASJC Scopus subject areas

  • Ophthalmology

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