Answer for BIR CoW 22 Jan 2023
Abducens nerve palsy
Findings:
Thinning of Right lateral rectus muscle noted with medial deviation of right globe. Right lateral rectus muscle measures 1. 5 mm Left lateral rectus muscle measures 3.3 mm Right abducent nerve appears small in calibre compared to left abducent nerve. Bilateral optic nerve and other extraocular muscles appears normal Diffuse mucosal thickening noted in left frontal , bilateral ethmoidal , maxillary and sphenoidal sinus - ( pansinusitis)
Impression:
Right Esotropia.
Right abducent nerve appears small in calibre with right lateral rectus muscle atrophy .
Findings:
Thinning of Right lateral rectus muscle noted with medial deviation of right globe. Right lateral rectus muscle measures 1. 5 mm Left lateral rectus muscle measures 3.3 mm Right abducent nerve appears small in calibre compared to left abducent nerve. Bilateral optic nerve and other extraocular muscles appears normal Diffuse mucosal thickening noted in left frontal , bilateral ethmoidal , maxillary and sphenoidal sinus - ( pansinusitis)
Impression:
Right Esotropia.
Right abducent nerve appears small in calibre with right lateral rectus muscle atrophy .
Note:
We do not discourage differential diagnosis. But all the differentials must satisfy the findings noted in the case.
If you feel you have answered rightly but cannot find your name in the above list, please call 09551942599.
Did you Know?
The order in which the names appear in this winner's list is based on the time of submission. The first person to send the correct answer gets his/her name on top of the list!
We do not discourage differential diagnosis. But all the differentials must satisfy the findings noted in the case.
If you feel you have answered rightly but cannot find your name in the above list, please call 09551942599.
Did you Know?
The order in which the names appear in this winner's list is based on the time of submission. The first person to send the correct answer gets his/her name on top of the list!