| Literature DB >> 26502168 |
V D Stahl-Hoffmann1, M Gräf2, E Cesnulis3, B Schuknecht4, B Lorenz2.
Abstract
We report a case of symptomatic ecchordosis physaliphora (EP) in a 34-year-old woman who presented with progressive diplopia due to palsy of the left sixth cranial nerve. Repeated magnetic resonance imaging (MRI) disclosed typical characteristics of a congenital EP lesion with compression of the left abducens nerve presumably because of a secondary herniation of the arachnoid mater. We performed an augmenting combined recess resect procedure on the left eye. No progression of the lesion was observed over a period of 5 years. For differential diagnostics an EP has to be distinguished from skull base tumors, such as chordoma and chondrosarcoma.Entities:
Keywords: Abducens nerve palsy; Arachnoid herniation; Chondrosarcoma; Chordoma; Clivus
Mesh:
Year: 2016 PMID: 26502168 DOI: 10.1007/s00347-015-0131-6
Source DB: PubMed Journal: Ophthalmologe ISSN: 0941-293X Impact factor: 1.059