Oculomotor nerve disorders

Severe head trauma

E.g., pituitary adenoma and growth hormone-secreting adenoma. The tumors cause enlargement of the extraocular muscles

E.g., sphenoid fractures (orbital apex) affect the oculomotor nerves, temporal bone fractures affect cranial nerves VI and VII

Microvascular ischemia Associated with diabetes mellitus

Compression - Tumor

- Giant intracranial aneurysm

Increased intracranial pressure

Meningeal infection, basal inflammation and carcinomatosis

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