Edward Khawam1, Daoud Fahed, Lama Khatib. 1. Pediatric Ophthalmology and Adult Strabismus, American University of Beirut Medical Center, Lebanon. Edward_khawam@hotmail.com
Abstract
UNLABELLED: PRUPOSE: To report a patient who developed an isolated inferior rectus paresis due to a pineal gland tumor, and to our knowledge never reported before. Our purpose is also to demonstrate that, even in partial and mild inferior rectus muscle paresis, the findings of the inhibitional palsy described by Chavasse and the downshoot of the fellow eye in adduction help determine the diagnosis. CASE REPORT: A patient with pineal gland tumor demonstrated findings characteristic of unilateral isolated inferior rectus paresis. CONCLUSION: Although bilateral sixth nerve paresis and Parinaud's syndrome are commonly reported in pineal gland tumors; in the the presence of an isolated inferior rectus palsy, one should also consider the pineal gland as the causative factor.
UNLABELLED: PRUPOSE: To report a patient who developed an isolated inferior rectus paresis due to a pineal gland tumor, and to our knowledge never reported before. Our purpose is also to demonstrate that, even in partial and mild inferior rectus muscle paresis, the findings of the inhibitional palsy described by Chavasse and the downshoot of the fellow eye in adduction help determine the diagnosis. CASE REPORT: A patient with pineal gland tumor demonstrated findings characteristic of unilateral isolated inferior rectus paresis. CONCLUSION: Although bilateral sixth nerve paresis and Parinaud's syndrome are commonly reported in pineal gland tumors; in the the presence of an isolated inferior rectus palsy, one should also consider the pineal gland as the causative factor.