case_images: PMC4868927_01
case_images: CT of the skull and cervical spine reveals multiple bony lytic lesions (arrows): a sagittal, left mandible, b coronal, cervical vertebra and occipital condyles, and c axial, clivus.
case_images: crn-0008-0066-g01.jpg
case_images: PMC4868927_01_crn-0008-0066-g01.jpg
case_images: F1
case_images: The patient's diagnosis of GSD was made at the age of 5 after an episode of left jaw swelling, for which imaging revealed lytic lesions of the skull base, clivus, left mandible, and first cervical vertebra (fig. 1).
case_images: The patient presented with limited abduction of the right eye with right lateral gaze (a), causing a worsening horizontal diplopia and a right esotropia in primary gaze (b). No diplopia was induced with left lateral gaze (c).
case_images: crn-0008-0066-g02.jpg
case_images: PMC4868927_01_crn-0008-0066-g02.jpg
case_images: F2
case_images: On examination, he presented with right eye esotropia with horizontal diplopia in primary gaze and with limited abduction of the right eye with right lateral gaze (fig. 2), which produced a worsening of the horizontal diplopia.