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December 1967

Reticulum Cell Sarcoma of Septum Pellucidum: Unusual Case of Third Nerve Paralysis Presenting to the Ophthalmologist

Author Affiliations

USA, Fort Sam Houston, Tex
From US Army-Ophthalmology Service, Brooke General Hospital, Fort Sam Houston, Tex.

Arch Ophthalmol. 1967;78(6):738-739. doi:10.1001/archopht.1967.00980030740008

T HE following case is reported because of the rarity of this lesion and its presentation to the ophthalmologist as a third nerve paralysis.

Report of a Case 

Clinical History.  —The patient was a 59-year-old white woman who had noted intermittent pain behind the right eye for two months. For the previous three weeks her husband states she was occasionally confused and even became lost in her normal surroundings. For two weeks prior to consultation, she experienced nausea, vomiting, and diplopia. Because of this last symptom she had applied a patch to the right eye and sought help from an ophthalmologist.

Examination.  —On examination she appeared in no acute distress and was not disoriented. Visual acuity was OD 20/30 with correction and OS 20/20-1 with correction. Both eyes were aphakic. She manifested right third nerve paralysis as evidenced by right ptosis, limitation in the fields of action of the muscles