Neuro-ophthalmology: Case three


Figure 1

Figure 2

This 65 year old woman presented to the eye casualty with one week history of diplopia. Ocular motility examination revealed limited left eye movement in all direction and the orthoptic examination revealed a left sixth nerve palsy and partial third nerve palsy without pupil involvement. Her visual acuities in both eyes were normal and the fundoscopy was unremarkable. An urgent CT scan was requested.

a. What do the CT scans show?

b. What is the most likely diagnosis?

c. How would you manage this condition?

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