title: Isolated oculomotor nerve paresis in anaplastic astrocytoma with exophytic invasion.
abstract: A 30-year-old man presented with a supratentorial malignant glioma manifesting as isolated progressive left oculomotor nerve paresis. Computed tomography and magnetic resonance imaging showed an intra-axial tumor in the left temporal lobe, extending to the basal and prepontine cisterns, and compressing the brainstem. The tumor was removed subtotally. The histological diagnosis was anaplastic astrocytoma. Malignant glioma with exophytic growth in the temporal lobe should be considered in the differential diagnosis of isolated oculomotor nerve paresis.
authors.affiliation: Department of Neurosurgery, Kobe University Graduate School of Medicine, Japan. hiro2804@med.kobe-u.ac.jp
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Tanaka
authors.forename: Takashi
authors.initials: T
authors.lastname: Sasayama
authors.forename: Atsufumi
authors.initials: A
authors.lastname: Kawamura
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kondoh
authors.forename: Naoki
authors.initials: N
authors.lastname: Kanomata
authors.forename: Eiji
authors.initials: E
authors.lastname: Kohmura
mesh_terms: D000328:Adult; D001253:Astrocytes / Q000473:pathology; D001254:Astrocytoma / Q000150:complications* / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D014408:Biomarkers, Tumor / Q000032:analysis; D001933:Brain Stem / Q000473:pathology; D002536:Cerebral Arteries / Q000473:pathology; D002946:Cisterna Magna / Q000473:pathology; D004292:Dominance, Cerebral / Q000502:physiology; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008279:Magnetic Resonance Imaging; D008297:Male; D009361:Neoplasm Invasiveness / Q000473:pathology; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000209:etiology / Q000473:pathology / Q000601:surgery; D038361:Neuronavigation; D009802:Oculomotor Nerve / Q000473:pathology / Q000601:surgery; D015840:Oculomotor Nerve Diseases / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D011149:Pons / Q000473:pathology; D015173:Supratentorial Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D013702:Temporal Lobe / Q000601:surgery
chemical_list: D014408:Biomarkers, Tumor