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Case Reports
. 1990 Jul;47(7):817-8.
doi: 10.1001/archneur.1990.00530070117021.

Isolated pupil-sparing third-nerve palsy as the presenting sign of multiple sclerosis

N J Newman  1 , S Lessell
Affiliations
Case Reports

Isolated pupil-sparing third-nerve palsy as the presenting sign of multiple sclerosis

N J Newman et al. Arch Neurol. 1990 Jul.

Abstract

A 27-year-old man presented with an isolated, pupil-sparing, partial third-nerve palsy. Etiologic investigations proved unrevealing. Subsequent development of an optic neuropathy prompted magnetic resonance imaging, which confirmed the clinical suspicion of multiple sclerosis. Rarely does multiple sclerosis present with oculomotor nerve involvement.

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