A 46 y/o female patient presented with double vision and visual distortion. The patient first noticed binocular horizontal diplopia & presence of a large blood vessel above her right eye 2 months back. She also reported a whooshing sound in her right ear that had been present for 2-3 months. What is this this condition? and treatment for this?

LikeAnswersShare

RT 6TH NERVE PALSY,CONJUNCTIVA YELLOWISH. Mild proptisisRt side. MR ANGIOGRAM PARLY ONLY POSTED Why ??? OTHER FILMS ARE VERY IMPORTANT. NEEDS AXIAL CONTRAST VENOUS PHASE+ CORONAL ARTERIAL AND SAGITTAL Arterial PHASES. DIAGNOSIS: CAROTICO CAVERNOUS FISTULA WITH LIMITED FILMS.

Sixth nerve palsy, or abducens nerve palsy, is a disorder associated with dysfunction of cranial nerve VI (the abducens nerve), which is responsible for causing contraction of the lateral rectus muscle to abduct (i.e., turn out) the eye.. But sometimes the cause of congenital sixth nerve palsy is unknown. Various circumstances and illnesses can also cause the disorder. This includes a head injury or skull fracture that damages the sixth cranial nerve. The disorder may also develop as the result of inflammation in the sixth cranial nerve.

Whooshing sound in right ear is typical of carotid cavernous fistula MRI also shows dilated retinal vein But carotid cavernous fistula presenting with lateral rectus palsy / abducens nerve palsy is rare finding and I could not find any references for same Therefore, most certainly it is worth publication - as Carotid cavernous fistula with abducens palsy Treatment would involve angiography with placement of covered stent

Whooping sound with sixth nerve palsy rt sided Sixth nerve palsy point towards rt sided cars to cavernous fistula . Treatment endovascular therapy

Inflammation with subconjunctival haematoma

Pituitary apoplexy 1.Medicine for general medical management 2.Neurosurgery for potential surgical therapy 3.Endocrinology for hormonal management

Inflammation of right optic nerve with atrophy

agree with Dr Manorama Rajan.right sided 6th nerve palsy due to caroticocavernous fistula.

Yes most likely Carotico Cavernous fistula compressing abducent nerve

Inflammed Rt optic nerve involvement with subconjunctival haematoma Rx symptomatic n conservative

Load more answers