title: A strange oculomotor palsy with eosinophilia.
abstract: A 75-year-old man was admitted to the Department of internal medicine because of a 2-month history of neurological deterioration. During the previous year, he complained of recurrent sinusitis, asthma, arthralgias, myalgias and asthenia. Later on, an oculomotor palsy, weakness and disturbance of the sensibility of the right upper limb appeared. Blood sample showed 6510 eosinophils per microlitre. The cerebral magnetic resonance demonstrated bilateral frontal and left parietal subcortical lesions from which the most voluminous presented large haemorrhagic areas. A cerebral biopsy showed small vessel's vasculitis, fibrinoid necrosis and extravascular eosinophilic encroachment. A diagnosis of oculomotor palsy secondary to eosinophilic granulomatosis with polyangeitis was then made, which was successfully treated with corticosteroids and cyclophosphamide.
authors.affiliation: a Department of Internal Medicine , Cliniques Universitaires St Luc, Université Catholique de Louvain , Brussels , Belgium.
authors.forename: Halil
authors.initials: H
authors.lastname: Yildiz
authors.affiliation: a Department of Internal Medicine , Cliniques Universitaires St Luc, Université Catholique de Louvain , Brussels , Belgium.
authors.forename: Ismaïl
authors.initials: I
authors.lastname: Ould-Nana
authors.affiliation: b Department of Pathology , Cliniques Universitaires St Luc, Université Catholique de Louvain , Brussels , Belgium.
authors.forename: Julie
authors.initials: J
authors.lastname: Lelotte
authors.affiliation: c Department of Radiology , Cliniques Universitaires St Luc, Université Catholique de Louvain , Brussels , Belgium.
authors.forename: Thierry
authors.initials: T
authors.lastname: Duprez
authors.affiliation: a Department of Internal Medicine , Cliniques Universitaires St Luc, Université Catholique de Louvain , Brussels , Belgium.
authors.forename: Bernard
authors.initials: B
authors.lastname: Vandercam
authors.affiliation: a Department of Internal Medicine , Cliniques Universitaires St Luc, Université Catholique de Louvain , Brussels , Belgium.
authors.forename: Michel
authors.initials: M
authors.lastname: Lambert
authors.affiliation: a Department of Internal Medicine , Cliniques Universitaires St Luc, Université Catholique de Louvain , Brussels , Belgium.
authors.forename: Chantal
authors.initials: C
authors.lastname: Lefebvre
keywords: Eosinophilic granulomatosis with polyangeitis; Eosinophils; Oculomotor palsy