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Imaging of Oculomotor (Third) Cranial Nerve Palsy

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Abstract

The evaluation of an isolated third cranial nerve palsy can be difficult and dangerous. The choices for initial imaging of a third nerve palsy is challenging in part because of the number of potential neuroimaging choices (e.g., magnetic resonance angiography (MRA), computed tomography angiography (CTA), intra-arterial digital subtraction angiography (DSA), or routine MRI or CT scan). This chapter describes the clinical guidelines in the evaluation of third nerve palsy, reviews the neuroimaging techniques, and outlines potential the advantages and disadvantages of each type of imaging.

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Acknowledgment

This work was supported in part by an unrestricted grant from the Research to Prevent Blindness, Inc., New York, NY.

A.J.S. is funded by an NIHR Clinician Scientist Fellowship (NIHR-CS-011-028).

There are no commercial or financial conflicts of interest and any funding sources by either author.

Author information

Authors and Affiliations

  1. Departments of Ophthalmology, Neurology and Neurosurgery, University of Alabama at Birmingham, Birmingham, AL, USA

    Michael S. Vaphiades

  2. Department of Ophthalmology, Queen’s University, Kingston, ON, Canada

    Martin W. ten Hove

  3. Department of Ophthalmology, University Hospital Birmingham, Birmingham, UK

    Tim Matthews

  4. Department of Radiology, University of Alabama at Birmingham, Birmingham, AL, USA

    Glenn H. Roberson

  5. Metabolic Neurology, Institute of Metabolism and Systems Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK

    Alexandra Sinclair

  6. Department of Neurology, University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital, Birmingham, UK

    Alexandra Sinclair

Authors
  1. Michael S. Vaphiades
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  2. Martin W. ten Hove
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  3. Tim Matthews
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  4. Glenn H. Roberson
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  5. Alexandra Sinclair
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Corresponding author

Correspondence to Michael S. Vaphiades .

Editor information

Editors and Affiliations

  1. Weill Cornell Medicine, Blanton Eye Institute Houston Methodist Hospital, Houston, TX, USA

    Andrew G. Lee

  2. Metabolic Neurology, Institute of Metabolism and Systems Research College of Medical & Dental Sciences University of Birmingham, Birmingham, UK

    Alexandra J. Sinclair

  3. Houston Methodist Hospital, Blanton Eye Institute, Houston, TX, USA

    Ama Sadaka

  4. Houston Methodist Hospital, Blanton Eye Institute, Houston, TX, USA

    Shauna Berry

  5. Birmingham Neuro-Ophthalmology, University Hospital Birmingham, Birmingham, UK

    Susan P. Mollan

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Vaphiades, M.S., ten Hove, M.W., Matthews, T., Roberson, G.H., Sinclair, A. (2019). Imaging of Oculomotor (Third) Cranial Nerve Palsy. In: Lee, A., Sinclair, A., Sadaka, A., Berry, S., Mollan, S. (eds) Neuro-Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-319-98455-1_11

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  • DOI: https://doi.org/10.1007/978-3-319-98455-1_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-98454-4

  • Online ISBN: 978-3-319-98455-1

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