Affiliations: Department of Neurology, Wayne State University,
Detroit, MI, USA
Note: [] Corresponding author: Deependra R. Khanal, M.D., Department of
Neurology, Wayne State University, Detroit, MI 48201, USA. Tel.: +1 313
7451302; Fax: +1 313 5774641; E-mail: dkhanal@med.wayne.edu
Abstract: Isolated oculomotor nerve palsy is a rare clinical condition in
children. We describe a case of 2-year-old female with no significant past
medical problems who presented with acute onset pupil-sparing third nerve
palsy. Magnetic resonance imaging with contrast revealed enhancement of the
third nerve, but multiple investigations including spinal fluid analysis failed
to identify the cause of her symptoms. Continued investigation of future cases
and advancement in our understanding of the basic biology of the third nerve
are needed to understand this rare condition.