Trochlear nerve palsy in Sjögren's syndrome.
Sjögren's syndrome (SS) is a systemic lymphoproliferative, autoimmune disease, which is characterized by dryness of the eyes, mouth, and other mucous membranes. The nervous system may be affected in up to 20% of the cases of primary or secondary SS. We present a case of a 54-year-old woman with trochlear nerve palsy complicating Sjögren's syndrome secondary to rheumatoid arthritis. We suggest that all patients with multiple cranial neuropathies, especially when associated with rheumatoid arthritis, should be carefully examined for the possible presence of secondary SS.
Chu
K
K
Department of Neurology, Seoul National University Hospital, Neuroscience Research Institute, SNUMRC, 28 Yongon-dong, Chongno-gu, 110-744, Seoul, South Korea.
Kang
D W
DW
Song
Y W
YW
Yoon
B W
BW
D001172:Arthritis, Rheumatoid / Q000150:complications; D003389:Cranial Nerve Diseases / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D012859:Sjogren's Syndrome / Q000150:complications*; D014276:Trigeminal Nerve; D020432:Trochlear Nerve Diseases / Q000209:etiology*