A Case of Delayed Diagnosis of Graves Orbitopathy Presenting as Bilateral Cranial Nerve VI Palsy

Graves’ Orbitopathy (GO) is reported in nearly half of Graves’ hyperthyroidism cases. This eye disease often develops simultaneously or within 18 months of demonstrated thyroid autoimmunity. In this case report, we will discuss a young female patient presenting with ophthalmopathy associated with bilateral cranial nerve VI palsy and asymptomatic hyperthyroidism with very unusual features for Graves’ disease. Her atypical presentation of Graves’ orbitopathy led to a comprehensive medical approach which included the use of several diagnostic tests and resources that resulted in delay in diagnosis and prolonged hospitalization.

Author(s): Joshua Thomas Shultz*, Yenny Otalora Rojas, Marla Sevilla Alsina and Joaquin Gomez-Daspet

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