This study is about the characteristics of third nerve palsy. Intracranial lipomas are infrequent, benign lesions of congenital origin commonly found incidentally on imaging studies. The doctors have described a case of interpeduncular lipoma in a female patient. She was just an 18-year-old female. She was suffering from a painful left complete oculomotor (IIIrd) nerve palsy and associated headache, which has not been reported in an adult patient to the best of our knowledge. They had studied the case in detail to find out all the possible observations from it. Hence, they considered all kinds of reports, imaging and other treatment procedures.

The patient’s pain had significantly improved after eye patching and steroid treatment at a 6-week follow-up. Although, the third nerve palsy remained utterly. Evidence suggests it will improve regardless of conservative management of radiological changes to the lipoma. The study has concluded that third nerve palsy can stay even after six weeks. However, it is a very rare case. Therefore, the doctors are still looking for some more information regarding the same. As there are no active cases found, the researchers are trying to study it, searching for some new facts and evidence. 

Ref: https://www.tandfonline.com/doi/full/10.1080/02688697.2020.1749982

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