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J Korean Neurol Assoc. 2001 Jul;19(4):423-426. Korean. Original Article.
Park KY , Lee SH , Byeon WG , Shin DI , Shim MS , Lee SS , Han SH .
Department of Neurology, Chungbuk National University College of Medicine.
Department of Neurology, Kwandong University College of Medicine.
Abstract

In patients with pupil-involving isolated oculomotor nerve palsy (IOP), compressive lesions, meningitis, and midbrain infarction can usually be excluded if the responsible lesions are not verified on a brain MRI, catheter angiography, and cerebrospinal fluid examination. However, we experienced a 11-year-old boy with pupil-involving IOP whose initial investigations had been normal and whose symptoms had been stationary over 3 months but was eventually confirmed to have germinoma. This case suggests that a patient with IOP without improvement for a prolonged period needs re-evaluation regardless of normal initial investigations. (J Korean Neurol Assoc 19(4):423~426, 2001)

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