Akdal, GBaklan, BErsahin, YCakmakci, HYurtseven, TIdiman, F2019-10-272019-10-2720010165-81070165-8107https://doi.org/10.1076/noph.26.2.127.10305https://hdl.handle.net/11454/35684We present a case of mesencephalic cavernoma, which caused various interesting clinical symptoms. A 58-year-old man was admitted to the emergency unit with a history of sudden, bilateral ptosis. Neurological examination revealed bilateral ptosis-limited elevation of both eyes, limited depression and adduction of the left eye, and a monocular abducting nystagmus in the right eye. Computed tomography showed a small hematoma in the mesencephalon and magnetic resonance imaging revealed a cavernoma with a hemorrhage. The patient was treated conservatively. Three months later, his bilateral ptosis had resolved and both the depression and the adduction of the left eye had improved. A year later, ocular motility had normalized. He subsequently presented with obstructive hydrocephalus; which was resolved with endoscopic third ventriculostomy.en10.1076/noph.26.2.127.10305info:eu-repo/semantics/closedAccesscavernomanuclear third nerve palsyhydrocephalusMesencephalic cavernoma causing reversible nuclear third nerve palsy and obstructive hydrocephalusArticle262127132WOS:000179710200008Q3Q4