J Korean Neurol Assoc.  2009 May;27(2):174-175.

Isolated Oculomotor Nerve Palsy due to Midbrain Cavernous Malfomation

Affiliations
  • 1Department of Neurology, Ewha Womans University, Medical research institute, Seoul, Korea.
  • 2Department of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. jisookim@snu.ac.kr
  • 3Department of Neurosurgery, 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.

Keyword

Oculomotor nerve; Midbrain; Cavernous hemangioma

MeSH Terms

Adult
Caves
Diplopia
Female
Hemangioma, Cavernous
Hemorrhage
Humans
Mesencephalon
Neurologic Examination
Oculomotor Nerve
Oculomotor Nerve Diseases
Paralysis
Pupil
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