Myasthenic "oculomotor" palsy
Osher, R.H.
Annals of Ophthalmology 11(1): 31-34
1979
ISSN/ISBN: 0003-4886 PMID: 420476 Document Number: 146985
A patient is described who presented with an abrupt onset of diplopia in association with a drooping lid. The motility pattern was consistent with a pupil sparing oculomotor nerve palsy. In addition, the behavior of the palpebral fissure was characteristic of aberrant regeneration. Intravenous Tensilon resulted in a prompt elevation of the lid and improvement in eye movements. The differential diagnosis of a pupil sparing third nerve palsy should include myasthenia gravis.