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Oculomotor Synkinesis Secondary to Meningocele: Report of a Rare Case
Journal article   Open access   Peer reviewed

Oculomotor Synkinesis Secondary to Meningocele: Report of a Rare Case

Benjamin Walker, Krishnakumari A. Modi, Leonardo F. Freitas and Nitesh Shekhrajka
Indian Journal of Radiology and Imaging, Vol.36(01), pp.128-131
01/2026
DOI: 10.1055/s-0045-1810018
PMCID: PMC12788922
PMID: 41523346
url
https://doi.org/10.1055/s-0045-1810018View
Published (Version of record) Open Access

Abstract

Abstract Oculomotor synkinesis or aberrant regeneration of cranial nerve III (CN III) typically results from trauma, aneurysm, or mass lesions. We present a rare case report with CN III palsy and synkinesis secondary to a meningocele in the left oculomotor cistern, causing mass effect on the oculomotor nerve. Imaging suggested underlying idiopathic intracranial hypertension (IIH) as a potential etiology. While mass lesions or trauma are common causes of oculomotor synkinesis, an association with meningocele has not been previously reported. This case highlights the importance of considering IIH-related meningoceles in unexplained CN III palsies.
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