Oculomotor Palsy from Neurocysticercosis Involving the Midbrain

J Korean Neurol Assoc > Volume 21(6); 2003 > Article

Journal of the Korean Neurological Association 2003;21(6): 667-670.

중뇌 유구낭미충증에 의한 동안신경마비

정선미 , 김지수 문소영 강사윤 강지훈 최국명 정영배

서울대학교 의과대학 신경과학교실 분당서울대학교병원 신경과, 제주대학교 의과대학 신경과학교실*, 방사선과학교실†, 기생충학교실

Oculomotor Palsy from Neurocysticercosis Involving the Midbrain

Seon-Mi Jeong

"Department of Neurology, College of Medicine, Seoul National University, Bundang Hospital; Department of Neurology*, Radiology†, and Parasitology‡, College of Medicine, Cheju National University"

Abstract

Papilledema, pupillary abnormalities, and nystagmus are common neuro-ophthalmologic signs in neurocysticercosis (NCC). Oculomotor palsy rarely occurs and usually accompanies compression of the midbrain by supratentorial or subarachonoid lesions with or without inflammation and hydrocephalus. Oculomotor palsy from NCC involving the midbrain parenchyme has rarely been described. We report on a patient who presented with oculomotor palsy caused by mesencephalic NCC. The patient showed recurrences of symptoms in association with steroid tapering.Key Words: Oculomotor palsy, Neurocysticercosis, Steroid