J Korean Neurol Assoc > Volume 19(4); 2001 > Article

Journal of the Korean Neurological Association 2001;19(4): 423-426.

"동공을 침범한 단독성 동안신경마비로 나타난 중뇌 배아종 1예"

박계연, 이성현 변우규 신동익*심미섭 이상수 한설희

충북대학교 의과대학 신경과학교실,관동대학교 의과대학 신경과학교실*

"A Case of Germinoma Presenting with Pupil-involving Isolated Oculomotor Nerve Palsy"

"Kye-Yeon Park, M.D., Sung-Hyun Lee, M.D., Woo-Gyu Byeon, M.D., Dong-Ick Shin, M.D.*, Mi-Sup Shim, M.D., Sang-Soo Lee, M.D., Seol-Heui Han, M.D."

"Department of Neurology, Chungbuk National University College of Medicine Department of Neurology, Kwandong University College of Medicine*"

Abstract

"In patients with pupil-involving isolated oculomotor nerve palsy (IOP), compressive lesions, meningitis, and midbrain infarction can usually be excluded if the responsible lesions are not verified on a brain MRI, catheter angiography, and cerebrospinal fluid examination. However, we experienced a 11-year-old boy with pupil-involving IOP whose initial investigations had been normal and whose symptoms had been stationary over 3 months but was eventually confirmed to have germinoma. This case suggests that a patient with IOP without improvement for a prolonged period needs re-evaluation regardless of normal initial investigations. J Korean Neurol Assoc 19(4):423~426, 2001 Key Words : Oculomotor nerve palsy, Germinoma"