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Case Report | Obstetrics and Gynecology | Volume 15 Issue 6, June 2026 | Pages: 684 - 687 | India
Thirdnerve Palsy in Preeclampsia and Eclampsia: A Red Flag Complication
Abstract: A 25-year-old primigravida at 37+4 weeks of gestation with severe preeclampsia and previously corrected pulmonary stenosis developed acute right third nerve palsy following emergency caesarean section. Clinical findings included diplopia, ptosis, and restricted ocular movements. Neuroimaging demonstrated narrowing of the cavernous segment of the right internal carotid artery and radiological features suspicious for right cavernous sinus thrombosis. Aneurysmal and other life-threatening structural causes were excluded. Management included blood pressure control, anticoagulation, corticosteroids, and multidisciplinary care. Progressive neurological recovery was observed during follow-up. This case highlights the importance of considering both preeclampsia-related vasculopathy and cavernous sinus thrombosis in the differential diagnosis of peripartum third nerve palsy and emphasises the value of prompt neuroimaging and coordinated multidisciplinary management.
Keywords: Third nerve palsy, oculomotor nerve, preeclampsia, pulmonary stenosis, hypertensive disorders of pregnancy, peripartum period
How to Cite?: Dr. Reddy Priyanka, Dr. Dwarakanath L, Dr. Lokesha H M, Dr. Jayashree S Shah, "Thirdnerve Palsy in Preeclampsia and Eclampsia: A Red Flag Complication", Volume 15 Issue 6, June 2026, International Journal of Science and Research (IJSR), Pages: 684-687, https://www.ijsr.net/getabstract.php?paperid=SR26612142245, DOI: https://dx.dx.doi.org/10.21275/SR26612142245