A Rare Case Report of Eight Syndrome Secondary to Syringomyelia Associated with Type I Chiari Malformation
Küçük Resim Yok
Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turkish Ophthalmology Society
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Eight syndrome is defined as the combination of a unilateral conjugate gaze palsy and ipsilateral seventh cranial nerve palsy. It may occur as a result of demyelinating, vascular, infectious, or compressive lesions of the brainstem localized to the caudal pontine tegmentum. A 43-yearold woman was admitted to our clinic with complaints of headache, inability to look to the left, and weakness on the left side of her face. The complaints had begun abruptly about a month before her admission. Suboccipital decompression surgery for type I Chiari malformation had been performed 10 years earlier. Neuro-ophthalmological examination revealed left-sided horizontal gaze palsy and anisocoria. Cranial and cervical magnetic resonance images revealed cerebellar tonsillar herniation and syringomyelia, the latter of which was considered to be the cause of eight syndrome. No interventions were performed, and periodic follow-up was advised on neurosurgical consultation. Left gaze palsy and facial palsy recovered almost completely in three months, while the anisocoria persisted. Syringomyelia should be considered among the causes of horizontal gaze palsy plus ipsilateral seventh nerve palsy, termed as eight syndrome. Clinical suspicion and appropriate radiological examination can aid in the diagnosis. © 2023 by the Turkish Ophthalmological Association / Turkish Journal of Ophthalmology published by Galenos Publishing House.
Açıklama
Anahtar Kelimeler
Chiari malformation, eight syndrome, horizontal gaze palsy, seventh cranial nerve palsy, apraclonidine, anisocoria, Arnold Chiari malformation, Article, brain stem, case report, clinical article, conjugate, consultation, cranial nerve paralysis, decompression surgery, facial nerve paralysis, female, follow up, gaze paralysis, headache, hernia, human, middle aged, nuclear magnetic resonance imaging, pontine tegmentum, ptosis (eyelid), radiodiagnosis, syringomyelia, tegmentum, weakness, adult, Arnold Chiari malformation, complication, paralysis, strabismus, Adult, Anisocoria, Arnold-Chiari Malformation, Female, Humans, Magnetic Resonance Imaging, Paralysis, Strabismus, Syringomyelia
Kaynak
Turkish Journal of Ophthalmology
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
53
Sayı
3
