Isolated Oculomotor Nerve Palsy due to Midbrain Cavernous Malfomation

J Korean Neurol Assoc > Volume 27(2); 2009 > Article

Journal of the Korean Neurological Association 2009;27(2): 174-175.

중간뇌 해면기형으로 인한 단독 눈돌림신경마비

유수연, 송현석a 한정호b 김지수a

이화여자대학교 의과대학 신경과학교실, 서울대학교 의과대학 신경과학교실a, 신경외과학교실b

Isolated Oculomotor Nerve Palsy due to Midbrain Cavernous Malfomation

Sooyeoun You

Department of Neurology, Ewha Womans University, Medical research institute, Departments of Neurologya and Neurosurgeryb, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea

Abstract

A 36-year-old previously healthy woman developed diplopia and right-sided ptosis. Neurological examinations were normal except for palsy in the right third cranial nerve with pupil involvement. CT and MRI revealed a cavernous hemangioma with recent bleeding in the right midbrain. This case indicates that midbrain cavernous hemangioma can be a rare cause of isolated pupil involving palsy of the third cranial nerve. Key Words: Oculomotor nerve, Midbrain, Cavernous hemangioma