Chapter

Case 46

Sarah T Pendlebury, Philip Anslow and Peter M Rothwell

in Neurological Case Histories

Published on behalf of Oxford University Press

Published in print February 2007 | ISBN: 9780192631626
Published online November 2012 | e-ISBN: 9780191753121 | DOI: http://dx.doi.org/10.1093/med/9780192631626.003.0046

Series: Oxford Case Histories

Case 46

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A 32-year-old man described a 9-month history of retro-orbital pain, left fixed pupil, drooping of the left eyelid, and double vision with intermittent left temporal headache which was worse at night. He also described a dry mouth and drinking between 4 and 10L per day. Examination revealed a left pupil that was 2mm larger than the right and there was a squint with the left eye looking downwards and laterally together with a left ptosis. There was double vision in all directions of gaze except looking down and to his left. The rest of the neurological examination was normal.

Chapter.  909 words.  Illustrated.

Subjects: Neurology

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