{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:34:34Z","timestamp":1777581274207,"version":"3.51.4"},"reference-count":8,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2019,6,3]],"date-time":"2019-06-03T00:00:00Z","timestamp":1559520000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Optic nerve sheath meningiomas and intracavernous arachnoid cysts are both fairly rare conditions, and to the best of our knowledge, have not been previously reported to co-occur in the same patient. Both can cause diplopia, but only ONSMs have been documented to demonstrate progressive worsening of ocular motility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Report:<\/jats:title>\n                    <jats:p>A 67-year-old woman with blur and diplopia demonstrated a right optic neuropathy and limited ductions bilaterally. Neuroimaging revealed a right optic nerve sheath meningioma and left intracavernous arachnoid cyst. She was conservatively managed with neurosurgical surveillance for 1.5\u2009years, until her diplopia worsened. Ocular motility re-evaluation demonstrated a worsening left abduction deficit, suggesting interval change of the intracavernous cyst, rather than the meningioma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There are only a few reported cases of cranial nerve VI palsy secondary to a cavernous sinus arachnoid cyst. However, this is the first reported case in a patient with a concurrent optic nerve sheath meningioma, and the first case demonstrating progressive worsening of a sixth cranial nerve palsy from an intracavernous arachnoid cyst. Determining which comorbidity caused worsening of symptoms played a critical role in the management of this patient.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1120672119853133","type":"journal-article","created":{"date-parts":[[2019,6,3]],"date-time":"2019-06-03T05:36:09Z","timestamp":1559540169000},"page":"NP86-NP89","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Progressive sixth nerve palsy secondary to intracavernous arachnoid cyst and complicated by contralateral optic nerve sheath meningioma"],"prefix":"10.1177","volume":"30","author":[{"given":"Kelly A","family":"Malloy","sequence":"first","affiliation":[{"name":"Department of Neuro-Ophthalmic Disease, Salus University, Elkins Park, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin M","family":"Draper","sequence":"additional","affiliation":[{"name":"Department of Neuro-Ophthalmic Disease, Salus University, Elkins Park, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley K","family":"Maglione","sequence":"additional","affiliation":[{"name":"Department of Neuro-Ophthalmic Disease, Salus University, Elkins Park, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly M","family":"Seidler","sequence":"additional","affiliation":[{"name":"Department of Neuro-Ophthalmic Disease, Salus University, Elkins Park, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,6,3]]},"reference":[{"key":"bibr1-1120672119853133","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2013.03.008"},{"key":"bibr2-1120672119853133","doi-asserted-by":"publisher","DOI":"10.1148\/130.3.675"},{"key":"bibr3-1120672119853133","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.cr.2013-0092"},{"key":"bibr4-1120672119853133","doi-asserted-by":"publisher","DOI":"10.1007\/BF00451776"},{"key":"bibr5-1120672119853133","doi-asserted-by":"publisher","DOI":"10.1097\/00041327-199912000-00010"},{"key":"bibr6-1120672119853133","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2009.05.027"},{"key":"bibr7-1120672119853133","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200201000-00019"},{"key":"bibr8-1120672119853133","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1979.50.2.0224"}],"container-title":["European Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1120672119853133","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1120672119853133","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1120672119853133","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:44:38Z","timestamp":1777405478000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1120672119853133"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,3]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.1177\/1120672119853133"],"URL":"https:\/\/doi.org\/10.1177\/1120672119853133","relation":{},"ISSN":["1120-6721","1724-6016"],"issn-type":[{"value":"1120-6721","type":"print"},{"value":"1724-6016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6,3]]}}}