12 comments

  1. Restrictive myopathy in thyroid eye disease rule out associated myasthenia gravis, rule out orbital apex compression cn3 palsy.

  2. Initially, i thought, complications related with the primary disease(TED). But with critical thinking found to be complete third nerve palsy. so what i learnt from the case scenario is; things are not strait forward and thinking out of the box

    1. Some critical elements of the history are ptosis rather than proptosis and the acute nature of the onset.

  3. I think that She has III par palsy and trouble in vision.
    Then I would ask for Brain and Orbits MRI+ MRA and MRV.
    I would look for aneurism of the left posterior communicante artery in the brain and some pathology in the orbitary apice.

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