[Acquired oculomotor paralysis in the adolescent].
BACKGROUND
Acquired oculomotor palsy in juvenile age are most commonly due to head trauma, tumors, migraine, vasculopathies and demyelinating diseases.


METHODS
We document three cases of paroxysmal oculomotor nerve palsy in childhood, illustrating the main clinical symptoms, neurological examination, MR images, diagnosis, treatment and evolution. Final diagnosis were: multiple sclerosis, pineoblastoma, and craniopharyngioma.


CONCLUSIONS
Sudden oculomotor nerve palsy occurring in youth in the absence of head trauma, viral infection or migraine access, firmly suggests a serious intracranial disease, and neuroimage studies should be quickly obtained to have an early diagnosis.
Gómez-Gosálvez
F
F
Servicio de Pediatría, Hospital Virgen de los Lirios, Alcoy, Alicante, España. fagomezgos@coma.es
Sala
A G
AG
Rubio
A
A
Escrivá
P
P
Clemente
F
F
Pérez
C
C
Carbonell
J
J
Menor
F
F
D000293:Adolescent; D001932:Brain Neoplasms / Q000150:complications* / Q000175:diagnosis; D002648:Child; D003397:Craniopharyngioma / Q000150:complications* / Q000175:diagnosis; D004172:Diplopia / Q000209:etiology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009103:Multiple Sclerosis / Q000150:complications* / Q000175:diagnosis; D009460:Neurologic Examination; D009886:Ophthalmoplegia / Q000209:etiology*; D010870:Pineal Gland; D010871:Pinealoma / Q000150:complications* / Q000175:diagnosis; D010911:Pituitary Neoplasms / Q000150:complications* / Q000175:diagnosis