163-21 Nuclear Third Nerve Palsy

Identifier: 163-21 Title: Nuclear Third Nerve Palsy Subject: Nuclear Third Nerve Palsy; Bilateral Ptosis; Bilateral Superior Rectus Palsy; Description: The following case is the first patient I saw with a nuclear third nerve palsy. The patient is a 52 year old man with hypertension and hyperlipidemia. He awoke one morning unable to open his eyes. To walk he tilted his head backwards and looked down. He came to the emergency room of the Massachusetts General Hospital and was admitted.