30 y.o. patient complaining of 1 day history of ptosis & he noticed his eye coming outward. on examination his pupil reflex was normal.. 3rd N palsy

30 y.o. patient complaining of 1 day history of ptosis & he noticed his eye coming outward? on examination his pupil reflex was normal:
a- carotid aneurysm.
b- 3rd  N palsy.***
c- 4th  N palsy.
d- 6th  N palsy.
e- strabismus.

Oculomotor nerve palsy is an eye condition resulting from damage to the third cranial nerve or a branch thereof. As the name suggests, the oculomotor nerve supplies the majority of the muscles controlling eye movements. Thus, damage to this nerve will result in the affected individual being unable to move their eye normally. In addition, the nerve also supplies the upper eyelid muscle (the Levator palpebrae superioris) and the muscles responsible for pupil constriction (termed miosis) and dilation (termed mydriasis). The limitations of eye movements resulting from the condition are generally so severe that the affected individual is unable to maintain normal alignment of their eyes when looking straight ahead, leading to strabismus and, as a consequence, double vision (diplopia).
It is also known as "Oculomotor neuropathy".
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