Isolated oculomotor nerve palsy in Churg-Strauss syndrome

被引：20
作者：
Tsuda, H
Ishikawa, H
Majima, T
Sawada, U
Mizutani, T
机构：
[1] Nihon Univ, Sch Med, Dept Med, Div Neurol,Itabashi Ku, Tokyo 1738610, Japan
[2] Nihon Univ, Sch Med, Div Resp Med, Tokyo 1738610, Japan
[3] Nihon Univ, Sch Med, Div Hematol & Rheumatol, Dept Med, Tokyo 1738610, Japan
[4] Nihon Univ, Sch Med, Dept Ophthalmol, Tokyo 1738610, Japan
来源：
INTERNAL MEDICINE | 2005年 / 44卷 / 06期
关键词：
allergic granulomatous angiitis; Churg-Strauss syndrome; magnetic resonance imaging; midbrain infarction; oculomotor nerve; perinuclear antineutrophil cytoplasmic antibody (p-ANCA);
D O I：
10.2169/internalmedicine.44.638
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
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.
引用
收藏
页码：638 / 640
页数：3
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