J Korean Neurol Assoc.  2003 Dec;21(6):667-670.

Oculomotor Palsy from Neurocysticercosis Involving the Midbrain

Affiliations
  • 1Department of Neurology, College of Medicine, Seoul National University, Bundang Hospital, Korea. jisookim@snu.ac.kr
  • 2Department of Neurology, College of Medicine, Cheju National University, Korea.
  • 3Department of Radiology, College of Medicine, Cheju National University, Korea.
  • 4Department of Parasitology, College of Medicine, Cheju National University, Korea.

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.

Keyword

Oculomotor palsy; Neurocysticercosis; Steroid

MeSH Terms

Humans
Hydrocephalus
Inflammation
Mesencephalon*
Neurocysticercosis*
Papilledema
Paralysis*
Recurrence
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