Misdirected third nerve syndrome

General: May occur with a variety of inflammatory in 242e42c fections and parainfections, vascular lesions, tumors, and degenerative and demyelinating diseases that may involve the nerve anywhere; may occur as primary aberrant regeneration without prior history of acute oculomotor nerve palsy.

Ocular: Bizarre eyelid movements that may accompany various eye movements; lid may rise as the medial rectus, the inferior rectus, or the superior rectus muscle contracts; iridoplegia; ptosis.

Clinical: None.

Beard C. Misdirected third nerve syndrome. In: Mosby CV, ed. Ptosis, 3rd ed. St. Louis: CV Mosby, 1981:115.

Harley RD, ed. Pediatric Ophthalmology, 4th ed. Philadelphia: WB Saunders, 1998.

Lepore FE, Glaser JS. Misdirection revisited: a critical appraisal of acquired oculomotor nerve synkinesis. Arch Ophthalmol 1980; 98:2206-2209.

Miller NR, ed. Walsh and Hoyts Clinical Neuro-Ophthalmology, vol. III. 4th ed. Baltimore: Williams & Wilkins, 1988.

Roy FH. Ocular Differential Diagnosis, 7th ed. Philadelphia: Lippincott Williams & Wilkins, 2002.

Schatz NJ, et al. Primary aberrant oculomotor regeneration: a Sign of intracavernous meningioma. Arch Neurol 1977; 34:29-32.