Neurol. praxi. 2025;26(5):430-433 | DOI: 10.36290/neu.2025.058

Oculomotor palsy - a diagnostic challenge

MUDr. Sabina Flašarová1, 2, MUDr. Iva Šrotová, Ph.D.1, 2, MUDr. David Šálek2, 3, MUDr. Zuzana Pazdičová2, 4
1 Neurologická klinika Fakultní nemocnice Brno
2 Lékařská fakulta Masarykovy univerzity, Brno
3 Interní hematoonkologická klinika Fakultní nemocnice Brno
4 Klinika radiologie a nukleární medicíny Fakultní nemocnice Brno

Oculomotor palsy can have a variety of etiologies and can therefore present a diagnostic challenge. In the differential diagnosis, the most common are stroke, craniotraumata, inflammatory and/or autoimmune diseases. Oculomotor nerve paresis may also be the first clinical manifestation of systemic diseases, such as haemato-oncological malignancies. In this case report, we present a 48-year-old patient in whom disseminated Burkitt's lymphoma manifested specifically as an oculomotor disorder, without associated symptoms related to hematooncological disease.

Keywords: Burkitt lymphoma, oculomotor nerve diseases, stroke, multiple sclerosis, cranial nerve palsies.

Received: April 13, 2025; Revised: July 16, 2025; Accepted: July 17, 2025; Prepublished online: July 17, 2025; Published: November 6, 2025  Show citation

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Flašarová S, Šrotová I, Šálek D, Pazdičová Z. Oculomotor palsy - a diagnostic challenge. Neurol. praxi. 2025;26(5):430-433. doi: 10.36290/neu.2025.058.
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