A Case of Ophthalmoplegia due to Subarachnoid Neurocysticercosis

J Korean Neurol Assoc > Volume 14(2); 1996 > Article

Journal of the Korean Neurological Association 1996;14(2): 627-632.

지주막하 유구낭미충증에 의한 외안근 마비 1례

오헝균, 김진호, 김영숙*

조선대학교 의과대학 신경과학교실, 방사선과학교실*

A Case of Ophthalmoplegia due to Subarachnoid Neurocysticercosis

Hysons Gyun OtL Df. D., Jin Ho Kim, aL D., Young Suk Kim, M,D.*

Department of Neurology and Radiology*, College of Medicine, Chosun University

Abstract

Ophthalmoplegia has many possible causes that must be considered. Among them, common causes of combined third, forth, and sixth nerve palsies at the base of brain induced mass effect are head trauma, neoplasm, and aneurysm. Cysticercosis is unique among infectious lesions of the brain stem because the associated clinical symptoms are primarily related to mass effect on adjacent neural structures and differential diagnosis with other space-occupying lesions is difficult on clinical grounds. We report a patient who presented with right oculomotor and trochlear palsy. Magnetic resonance imaging showed a large cystic sass on the interpeduncular cistern and midbrain. Surgical extirpation was done, which was followed by clinical improvement.