Fascicular multiple ocular motor nerve paresis as first presentation of anaplastic astrocytoma

Abstract

A case of spontaneous, painless partial III (pupil-sparing) and IV fascicular nerve paresis as the first presentation of anaplastic astrocytoma is reported. The other ocular, neurological and systemic examination was within normal limits. The literature and possible anatomical location of this atypical presentation is reviewed.

Keywords

• Anaplastic astrocytoma
• fascicular paresis
• ophthalmoplegia