C/o head ach , drowsiness, since 4days later he developed suddenly drooping of left upper lid mid dilated pupil , decreased vision ...Rx dx

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3rd n palsy examine BP ,blood sugar MRI brain &orbit systemic wysolone 1mg /kg 3days start tapering with omiperzole ,B1,6,12 .Neurological opinion

Complete 3rd nerve palsy, painful, with visual (optic n) impairment, orbital pseudo tumor most likely, NSAID + steroids. Exclude SAH / aneurysm

3rd N palsy, complete ophthalmological examination Complete baseline blood investigations MRI brain to locate any intracranial cause

Advice MRI brain , routine blood investigation including Blood sugar fasting ,pp , and lipid profile Give steroid

What about extraocular movement 2,3 nerve involved rest can't comment High possibility of SOL Get brain scan

Pupil involving third nerve palsy...urgent neuroimaging to look for ICSOL, aneurysm etc.

Left complete 3rd Nerve palsy. Suggest Mri brain with MRA. Further management afyer MRI

It is oculomotor nv palsy Check up of blood sugar level and advise MRI

3RD NEVE PARALYSIS M R I BRAIN NEUROLOGIST CONSULATATION

Complete Lt 3rd Nv Palsy,MRI brain suggested

Thanks Dr Raja kumar
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