title: Recurrent oculomotor neuritis related to autoimmune hypothyroidism. Case Report.
abstract: Ophthalmopathy related to thyroid disease is due mainly to diffuse periorbital or eye muscle inflammation. It is more common in Grave's hyperthyroidism and rare in Hashimoto's hypothyroidism. Here we report a case of recurrent oculomotor nerve palsy associated with autoimmune hypothyroidism. Brain MRI revealed enhancement of the oculomotor nerves. Despite thyroid hormone replacement therapy, oculomotor nerve palsy recurred at the side contralateral to the initially involved nerve and the autoimmune antibody titer remained high. The symptom was responsive to high-dose steroid therapy.
authors.affiliation: Department of Neurology, Kyung Hee University College of Medicine, Kyung Hee University Hospital at Kangdong, Seoul, Republic of Korea.
authors.forename: Hye-Yeon
authors.initials: HY
authors.lastname: Choi
authors.affiliation: Department of Neurology, Kyung Hee University College of Medicine, Kyung Hee University Hospital at Kangdong, Seoul, Republic of Korea.
authors.forename: Hak Young
authors.initials: HY
authors.lastname: Rhee
authors.affiliation: Department of Neurology, Chung-Ang University College of Medicine, Seoul, Republic of Korea.
authors.forename: Hae-Won
authors.initials: HW
authors.lastname: Shin
mesh_terms: D000293:Adolescent; D005260:Female; D050031:Hashimoto Disease / Q000150:complications* / Q000188:drug therapy; D020249:Hormone Replacement Therapy / Q000379:methods; D006801:Humans; D008279:Magnetic Resonance Imaging; D015840:Oculomotor Nerve Diseases / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D012008:Recurrence; D013256:Steroids / Q000627:therapeutic use; D013967:Thyroiditis, Autoimmune / Q000150:complications* / Q000188:drug therapy
chemical_list: D013256:Steroids