An Incidental Finding of Ecchordosis Physaliphora in a Case of Abducens Nerve Palsy: Case Report

被引：3

作者：

Ilorah, Chike ^{[1
,2
]}

Bond, Brandon ^{[1
,2
]}

Kattah, Jorge C. ^{[1
,2
]}

Hassanzadeh, Bahareh ^{[1
,2
]}

机构：

[1] Univ Illinois, Coll Med, Dept Neurol, Peoria, IL 61656 USA

[2] OSF HealthCare Illinois Neurol Inst, Dept Neurol, 530 NE Glen Oak Ave, Peoria, IL 61637 USA

来源：

NEURO-OPHTHALMOLOGY | 2018年 / 42卷 / 04期

关键词：

Abducens nerve palsy; clivus; ecchordosis physaliphora; retro clival mass; sixth cranial nerve palsy;

D O I：

10.1080/01658107.2017.1381853

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Ecchordosis physaliphora (EP) is a rare non-malignant mass that originates from remains of the notochord and is typically asymptomatic. A 42-year-old man presented with sudden onset of painless horizontal diplopia and his neurological exam showed sixth cranial nerve palsy. Magnetic resonance imaging (MRI) identified a non-enhanced retroclival mass (EP) with increased signal intensity on T2 and decreased signal intensity on T1-weighted sequences. He was treated with methylprednisolone, completely recovered in four weeks and has remained symptom free. Conservative management should be attempted before surgery in all cases since symptoms can resolve spontaneously and EP could be an incidental finding.

引用

页码：233 / 236

页数：4

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