title: Remission of superior oblique myokymia after microvascular decompression.
abstract: Superior oblique myokymia (SOM) is an ocular motility disorder characterized by oscillopsia, vertical or torsional diplopia, sometimes combined with pressure sensation. Although the pathophysiological basis is unclear, isolated case reports have documented its association with intracranial pathological processes. We present a case of SOM associated with a vascular compression of the fourth nerve at the root exit zone. Following microneurosurgical decompression, SOM completely resolved and paralysis of the fourth nerve occurred. This was less disturbing.
authors.affiliation: Department of Strabismology and Neuroophthalmology, University of Giessen, Germany.
authors.forename: K
authors.initials: K
authors.lastname: Scharwey
authors.forename: T
authors.initials: T
authors.lastname: Krzizok
authors.forename: M
authors.initials: M
authors.lastname: Samii
authors.forename: S K
authors.initials: SK
authors.lastname: Rosahl
authors.forename: H
authors.initials: H
authors.lastname: Kaufmann
mesh_terms: D019299:Decompression, Surgical; D006801:Humans; D008297:Male; D008875:Middle Aged; D020385:Myokymia / Q000209:etiology / Q000503:physiopathology*; D009408:Nerve Compression Syndromes / Q000150:complications / Q000503:physiopathology*; D015835:Ocular Motility Disorders / Q000209:etiology / Q000503:physiopathology*; D009801:Oculomotor Muscles; D016491:Peripheral Vascular Diseases / Q000209:etiology / Q000601:surgery*; D014321:Trochlear Nerve / Q000098:blood supply*; D020432:Trochlear Nerve Diseases / Q000150:complications / Q000503:physiopathology*