Isolated Pupillary-sparing Cranial Nerve III Palsy from a Subgaleal Abscess

Authors

  • Roland Joseph D. Tan Department of Ophthalmology, Baguio General Hospital and Medical Center, Baguio City, Philippines; Department of Ophthalmology and Visual Sciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Manila, Philippines https://orcid.org/0000-0001-9474-1368
  • Marie Christine M. Tan Department of Ophthalmology, Baguio General Hospital and Medical Center, Baguio City, Philippines

DOI:

https://doi.org/10.47895/amp.vi0.5737

Keywords:

Cranial Nerve III, palsy, subgaleal abscess, ptosis, ophthalmoplegia

Abstract

Cranial nerve (CN) III palsy is rarely caused by intraorbital compression, let alone from a subgaleal abscess.
We present a case of a hypertensive 55-year-old man with an acute isolated pupillary-sparing left CN III palsy from a left subgaleal abscess with associated pterional osteomyelitis and frontotemporal mass. This is the first reported such case and the third reported case of a chronic spontaneous subgaleal abscess. A seemingly routine case of an acute, pupillary-sparing, isolated CN III palsy from hypertension turned out to be a rare case in terms of etiology of the palsy and of the source of the abscess.


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Published

2023-06-28

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How to Cite

1.
Isolated Pupillary-sparing Cranial Nerve III Palsy from a Subgaleal Abscess. Acta Med Philipp [Internet]. 2023 Jun. 28 [cited 2025 Apr. 3];57(6). Available from: https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/5737

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