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....

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

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.

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.

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