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  • Title: [Abducens nerve palsy as the first manifestation of cavernous sinus sarcoidosis].
    Author: Nagasawa H, Iseki C, Wada M, Kurita K, Kato T.
    Journal: Rinsho Shinkeigaku; 2005 Jan; 45(1):38-40. PubMed ID: 15714999.
    Abstract:
    We report a 33-year-old man who presented with an acute onset of diplopia and orbitalgia. Neurological examination revealed right abducent nerve palsy. Brain MRI showed a gadolinium-enhancing mass lesion in the right cavernous sinus. Chest CT showed a small lymph node swelling in the subcarinal compartment. Serum angiotensin converting enzyme and lysozyme levels were within normal range. Biopsied lymph node in the left supraclavicular fossa showed non-caseating epitheloid granulomas, consistent with sarcoidosis. After oral administration of predonisolone, his right abducent nerve palsy ameliorated in a few days and completely disappeared by 6 weeks after treatment. Abducent nerve palsy can be the first clinical manifestation of cavernous sinus sarcoidosis.
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