Journal article · Vestibular← The news desk

✦ The Dispatch

Two Cases of Oculomotor Nerve Palsy in Idiopathic Intracranial Hypertension and a Literature Review

A dispatch from PubMed — filed

Idiopathic intracranial hypertension (IIH) is characterized by elevated intracranial pressure in the absence of a secondary cause. Classically, it presents with headache, visual obscurations, pulsatile tinnitus, and diplopia, most commonly due to abducens nerve palsy. Involvement of other cranial nerves is rare. We report two patients with oculomotor nerve palsy in the setting of IIH....

Clinical Takeaway

No actionable change for audiologists — this case report addresses a rare neurological complication with negligible relevance to peripheral audiology practice.

Why It Matters

Awareness of rare cranial nerve complications in idiopathic intracranial hypertension may aid audiologists when ruling out central versus peripheral vestibular or auditory pathology in complex cases.

Key Points
  1. 01Two cases of oculomotor nerve palsy (eye-movement nerve paralysis) occurring alongside idiopathic intracranial hypertension are described.
  2. 02Idiopathic intracranial hypertension involves raised skull pressure without an identifiable cause.
  3. 03A literature review contextualises how rarely this nerve is affected in this condition.
  4. 04Peripheral audiology relevance is limited; no hearing-specific outcomes were measured.
  5. 05Clinicians should consider central neurological causes when patients present with unusual cranial nerve signs.
Claims & Evidence

Oculomotor nerve palsy can occur as a complication of idiopathic intracranial hypertension.

studypartially supported
Research metadata
PMID
42125607
DOI
10.1155/crnm/9730076.
Journal
Case Reports in Neurological Medicine
Publication type
case_report
Evidence level
4
Sample size
2
Population
Two patients with idiopathic intracranial hypertension and oculomotor nerve palsy
Intervention
Clinical observation and literature review of oculomotor nerve palsy in idiopathic intracranial hypertension

Primary outcomes

Characterisation of oculomotor nerve palsy presentation in idiopathic intracranial hypertension; Literature review of reported cases

Related stories