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Case of Cytomegalovirus Infection Causing Isolated Oculomotor Nerve Palsy
(Derman Medical Publ, 2014) Sen, Halil Murat; Tosum, Yeliz Yilmaz; Ors, Ceyda Hayretdag; Karaman, Handan Isin Ozisik
The third cranial nerve is called the oculomotor nerve. The pathology is revealed by limitation of eye movement inward-up-down, mydriasis, loss of light reflex and ptosis. Oculomotor nerve pathologies are frequently seen in neurology practice and are situations that may be very difficult for differential diagnosis. Differential diagnosis first involves disqualifying intracranial etiologies by imaging because these intracranial etiologies may be situations that can result in death and should be primarily evaluated. If intracranial events are ruled out, generally rarer etiologic reasons with generally difficult differentiation should be researched. Viral infections are among the rare etiological reasons causing 3rd cranial nerve involvement. Our case was a 71-year old female with etiological research due to 3rd cranial nerve palsy. The patient with diabetes-linked immune deficiency was found to have cranial nerve involvement developed secondary to cytomegalovirus (CMV) infection. We report this case as 3rd cranial nerve involvement is rarely observed developing linked to CMV infection.