title: Third cranial nerve palsy from midbrain neurocysticercosis: repeated exacerbation on tapering corticosteroids.
abstract: Third cranial nerve palsy is rare in neurocysticercosis and is usually caused by supratentorial or sub-arachnoid lesions with accompanying hydrocephalus or meningitis. We report a patient who presented with third cranial nerve palsy caused by neurocysticercosis involving the midbrain. The patient showed repeated exacerbation of symptoms on tapering corticosteroids. The experience with this patient indicates that tapering of corticosteroids should be performed very slowly in such cases.
authors.affiliation: Department of Neurology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 300 Gumi-Dong, Dundang-Su, Seongnam-Si, Gyeonggi-Do 463-707, Korea. jisookim@snu.ac.kr
authors.forename: Ji Soo
authors.initials: JS
authors.lastname: Kim
authors.forename: Seon-Mi
authors.initials: SM
authors.lastname: Jeong
authors.forename: So Young
authors.initials: SY
authors.lastname: Moon
authors.forename: Seong-Ho
authors.initials: SH
authors.lastname: Park
mesh_terms: D000818:Animals; D000913:Antibodies, Protozoan / Q000134:cerebrospinal fluid; D000981:Antiprotozoal Agents / Q000008:administration & dosage; D001763:Blepharoptosis / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology; D002555:Cerebrospinal Fluid / Q000276:immunology; D003552:Cysticercus / Q000276:immunology; D004172:Diplopia / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology; D004359:Drug Therapy, Combination; D004797:Enzyme-Linked Immunosorbent Assay; D005938:Glucocorticoids / Q000008:administration & dosage*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008636:Mesencephalon / Q000473:pathology*; D008775:Methylprednisolone / Q000008:administration & dosage; D008875:Middle Aged; D020019:Neurocysticercosis / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D015840:Oculomotor Nerve Diseases / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D011223:Praziquantel / Q000008:administration & dosage; D012008:Recurrence
chemical_list: D000913:Antibodies, Protozoan; D000981:Antiprotozoal Agents; D005938:Glucocorticoids; D011223:Praziquantel; D008775:Methylprednisolone