Neurofibromatosis Type 2 Presenting with Oculomotor Ophthalmoplegia and Distal Myopathy
Joint Authors
Azhany, Yaakub
Tevaraj, Jessica Mani Penny
Li Min, Evelyn Tai
Mohd Noor, Raja Azmi
Wan Hitam, Wan Hazabbah
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-09-21
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Neurofibromatosis type 2 usually presents with bilateral acoustic schwannomas.
We highlight the rare presentation of neurofibromatosis initially involving third nerve.
A 23-year-old Malay female presented with left eye drooping of the upper lid and limitation of upward movement for 8 years.
It was associated with right-sided body weakness, change in voice, and hearing disturbance in the right ear for the past 2 years.
On examination, there was mild ptosis and limitation of movement superiorly in the left eye.
Both eyes had posterior subcapsular cataract.
Fundoscopy showed generalised optic disc swelling in both eyes.
She also had palsy of the right vocal cord, as well as the third and eighth nerve.
There was wasting of the distal muscles of her right hand, with right-sided decreased muscle power.
Pedunculated cutaneous lesions were noted over her body and scalp.
MRI revealed bilateral acoustic and trigeminal schwannomas with multiple extra-axial lesions and intradural extramedullary nodules.
Patient was diagnosed with neurofibromatosis type 2 and planned for craniotomy and tumour debulking, but she declined treatment.
Neurofibromatosis type 2 may uncommonly present with isolated ophthalmoplegia, so a thorough physical examination and a high index of suspicion are required to avoid missing this condition.
American Psychological Association (APA)
Tevaraj, Jessica Mani Penny& Li Min, Evelyn Tai& Mohd Noor, Raja Azmi& Azhany, Yaakub& Wan Hitam, Wan Hazabbah. 2016. Neurofibromatosis Type 2 Presenting with Oculomotor Ophthalmoplegia and Distal Myopathy. Case Reports in Ophthalmological Medicine،Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1101779
Modern Language Association (MLA)
Tevaraj, Jessica Mani Penny…[et al.]. Neurofibromatosis Type 2 Presenting with Oculomotor Ophthalmoplegia and Distal Myopathy. Case Reports in Ophthalmological Medicine No. 2016 (2016), pp.1-3.
https://search.emarefa.net/detail/BIM-1101779
American Medical Association (AMA)
Tevaraj, Jessica Mani Penny& Li Min, Evelyn Tai& Mohd Noor, Raja Azmi& Azhany, Yaakub& Wan Hitam, Wan Hazabbah. Neurofibromatosis Type 2 Presenting with Oculomotor Ophthalmoplegia and Distal Myopathy. Case Reports in Ophthalmological Medicine. 2016. Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1101779
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101779