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- W2313445061 abstract "We read with interest the case report (1) describing recurrent third nerve palsy as the presenting feature of neurofibromatosis type 2 (NF2). We evaluated a child with similar clinical findings. Our patient, whose mother has NF2, presented at age 5 years with painless, right-sided ptosis, and upgaze palsy, with normal pupils that evolved over several days. There was no history of preceding illness or trauma. The remainder of the general and neurological examinations was normal. Hematological and biochemical screening as well as inflammatory markers were negative. Magnetic resonance imaging (MRI) of the brain with contrast was normal. The child remained otherwise well and his findings completely resolved over 6 weeks. Over the next 3 years, he had 3 identical spontaneous episodes all involving the same eye, with good but incomplete recovery, in that mild ptosis (1–2 mm) and diplopia on upgaze persisted. Repeat contrast-enhanced brain MRI with each episode was normal, as were blood studies including acetylcholine receptor antibodies for myasthenia gravis. At the age of 7 years, left hand weakness developed due to nerve sheath tumors affecting the roots of C8 and T1. Genetic testing confirmed the diagnosis of NF2. We agree with Barrett et al that there is no clear explanation for the recurrent third nerve palsy, but that it can be a presenting symptom of NF2 in children." @default.
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- W2313445061 date "2014-03-01" @default.
- W2313445061 modified "2023-10-14" @default.
- W2313445061 title "Recurrent Third Nerve Palsy as the Presenting Feature of Neurofibromatosis 2" @default.
- W2313445061 cites W2330679607 @default.
- W2313445061 doi "https://doi.org/10.1097/wno.0000000000000084" @default.
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