Findings that shed new light on the possible pathogenesis of a disease or an adverse effect: Gliomatosis presenting as a relative pupil-sparing third nerve palsy in a hypertensive diabetic

doi:10.1136/bcr.04.2010.2930

BMJ Case Rep. 2010; 2010: bcr0420102930.

Published online 2010 December 6. doi: 10.1136/bcr.04.2010.2930

PMCID: PMC3029609

Findings that shed new light on the possible pathogenesis of a disease or an adverse effect

Gliomatosis presenting as a relative pupil-sparing third nerve palsy in a hypertensive diabetic

U Sheikh,¹ CJS Price,² and NJ Gutowski²

¹Department of Cardiology, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK

²Department of Neurology, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK

Correspondence to U Sheikh, Email: sheikhusmanejaz/at/yahoo.co.uk

Abstract

We present an unusual case of a 41-year-old male patient who presented to the ophthalmology department giving a 3-month history of right sided ptosis, weight loss, diplopia and headache. Clinical examination revealed a right sided relative pupil-sparing third nerve palsy. MRI scan of brain showed thickening of both third nerves. Further investigations revealed a glioblastoma.

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