Abstract

An 86 year-old-female, presented with a 6-day history of sudden onset of left-sided retro-orbital pain, ptosis and diplopia. On examination, her blood pressure was 190/90 and had a normal heart rate and temperature. Neurological examination revealed only complete left side oculomotor nerve—CN3 palsy with complete ptosis, mydriasis and with the eye looking down and out and unable to adduct the orbit. The pupillary reaction was sluggish. Her medical history included hypertension and chronic kidney failure but was not on …

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