Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Isolated Oculomotor Nerve Palsy in Churg-Strauss Syndrome
Hiromasa TSUDAHiroshi ISHIKAWAToru MAJIMAUmihiko SAWADATomohiko MIZUTANI
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JOURNALS OPEN ACCESS

2005 Volume 44 Issue 6 Pages 638-640

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Abstract

A 30-year-old man with bronchial asthma complained of horizontal diplopia. Partial oculomotor nerve palsy with restrictions of elevation and adduction, and mydriasis was observed in the left eye. Cranial magnetic resonance imaging demonstrated an infarct lesion in the territory of the left superior median mesencephalic branch of the posterior cerebral artery. Based on bronchial asthma, hypereosinophilia, mononeuropathy multiplex, pulmonary eosinophilia and positive perinuclear antineutrophil cytoplasmic antibody in the serum, the patient was diagnosed as having Churg-Strauss syndrome. This is the first case of oculomotor nerve palsy due to midbrain infarction associated with Churg-Strauss syndrome.

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© 2005 by The Japanese Society of Internal Medicine
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