Congenital Multiple Ocular Motor Nerve Palsy Complicated by Splitting of the Lateral Rectus Muscle

Reika Kono, Takehiro Shimizu, Hiroshi Ohtsuki, Ichiro Hamasaki, Kiyo Shibata, Fumiko Kishimoto, Yuki Morizane, Fumio Shiraga

Research output: Contribution to journalArticle


We report a case of congenital multiple ocular motor nerve palsy combined with splitting of the lateral rectus muscle (LR). A 59-year-old Japanese female was investigated for worsening esotropia after corrective surgery. She presented with left hypertropia (35Δ) and esotropia (45-50Δ). Orbital magnetic resonance imaging (MRI) showed reduced belly sizes in the superior rectus, inferior rectus, and superior oblique muscles and splitting of the LR, extending from the origin to the belly, in the left eye. Splitting of the LR belly was detected on MRI in a case of congenital multiple ocular motor nerve palsy.

Original languageEnglish
Pages (from-to)67-70
Number of pages4
JournalActa medica Okayama
Issue number1
Publication statusPublished - Feb 1 2019



  • congenital cranial dysinnervation disorder
  • lateral rectus muscle splitting
  • magnetic resonance imaging
  • multiple ocular motor nerve palsy
  • orbital connective tissue

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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