Painful Oculomotor Nerve Palsy

Painful oculomotor nerve palsy due to lymphocytic hypophysitis.

A 40-year-old man developed headache and a left oculomotor nerve palsy. MRI revealed diffuse enlargement of the pituitary gland and thickening of the pituitary stalk with strong gadolinium enhancement (figure). CSF examination showed a lymphocytic pleocytosis; there were laboratory findings of panhypopituitarism, but no related symptoms. We administered IV methylprednisolone. The headache and o...

Traumatic Oculomotor Nerve Palsy

Oculomotor nerve palsy generally presents with mydriasis, blepharoptosis, and impairment of extraocular muscle movement. The incidence of primary traumatic oculomotor nerve palsy in craniocerebral trauma is approximately 1.2% [1]. The causes of oculomotor nerve palsy are congenital, traumatic, vascular, migrainous, and parainfectious. Especially in children, it is often caused by congenital fac...

Oculomotor nerve palsy.

MR of oculomotor nerve palsy.

PURPOSE To assess the utility of MR in third cranial nerve palsy. METHODS We reviewed precontrast and postcontrast MR of 50 patients with third cranial nerve palsy. RESULTS MR demonstrated an appropriate lesion in 32 cases. Of these patients, 6 had brain stem lesions and 15 had involvement of the nerve in the cavernous sinus; lesions of the cisternal segment of the nerve were present in 11 ...

Oculomotor nerve palsy in invasive intracranial aspergillosis.