title: Isolated oculomotor nerve palsy in Churg-Strauss syndrome.
abstract: 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.
authors: Division of Neurology, Nihon University, School of Medicine, Oyaguchikamicho, Tokyo.
authors: Hiromasa
authors: H
authors: Tsuda
authors: Hiroshi
authors: H
authors: Ishikawa
authors: Toru
authors: T
authors: Majima
authors: Umihiko
authors: U
authors: Sawada
authors: Tomohiko
authors: T
authors: Mizutani
mesh_terms: D000328:Adult; D019268:Antibodies, Antineutrophil Cytoplasmic / Q000276:immunology; D001706:Biopsy; D015267:Churg-Strauss Syndrome / Q000150:complications* / Q000175:diagnosis / Q000276:immunology; D003937:Diagnosis, Differential; D004797:Enzyme-Linked Immunosorbent Assay; D005133:Eye Movements / Q000502:physiology; D005500:Follow-Up Studies; D006801:Humans; D020762:Infarction, Posterior Cerebral Artery / Q000150:complications / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D015840:Oculomotor Nerve Diseases / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D011657:Pulmonary Eosinophilia / Q000150:complications / Q000473:pathology
chemical_list: D019268:Antibodies, Antineutrophil Cytoplasmic