Okohybná porucha – diagnostická výzva // SOLEN

Neurológia pre prax 5/2025

Oculomotor palsy – a diagnostic challenge

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