DR. SAHANA HONNALLI

DR. RAMAN YENUGANDULA, DR.GOWRI SANJEEV PATNE

Abstract

Purpose : To present a case of complete ophthalmoplegia due to sellar/parasellar meningioma.

Methods : A 63 yrs old female patient came with the chief complaints of drooping of (RE) upper lid since 2 months associated with headache more on right side and double vision intermittently in some gazes. On examination best corrected vision in RE 6/12 LE 6/6 RE showed UL ptosis and mid dilated fixed pupil LE anterior segment was normal. BE fundus was normal. HCRT showed 10°exotropia in RE. Extraocular movements limited in all gazes in RE and full and free in LE. Diplopia charting showed diplopia in all gazes. MRI brain with contrast was advised and referred to neurosurgeon.

Results: MRI brain with contrast showed contrast enhancing lesions along sellar and patellar regions indentation over chiasm/ infundibulum noted.

Conclusion: patient recieved radiotherapy and improvement of ophthalmoplegia was noted and repeat MRI and visual fields reports awaited.