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Introduction. We report a case of bilateral third cranial nerve palsy in a pat ient with a secondary progressive multiple sclerosis. Observation. MRI revealed a large hyperintense lesion in T2-weighted images in the mesencephalic area. Th e clinical and radiological outcome was good after intravenous methylprednisolon e. The oculomotor signs were probably caused by this mesencephalic lesion. Concl usion. This case of bilateral third cranial nerve palsy is, to our knowledge, th e first one occurring in a patient with multiple sclerosis.
Introduction. We report a case of bilateral third cranial nerve palsy in a patient with a secondary progressive multiple sclerosis. Observation. MRI revealed a large hyperintense lesion in T2-weighted images in the mesencephalic area. Th e clinical and radiological outcome was good after intravenous methylprednisolon e. The oculomotor signs were probably caused by this mesencephalic lesion. Concl usion. This case of bilateral third cranial nerve palsy is, to our knowledge, th e first one occurring in a patient with multiple sclerosis.