Right Superior Oblique Paralysis associated with Idopathic Hypertropic Cranial Pachymeningitis.
- Author:
Eon Jeong KIM
1
;
Jong Myong KIM
;
Ji Myong YOO
Author Information
1. Department of Ophthalmology, Gyeongsang National University, College of Medicine, Gyeong nam, Korea. YJM@nongae.gsnu.ac.kr
- Publication Type:Case Report
- Keywords:
Brain MRI;
Idiopathic hypertrophic cranial pachymeningitis;
Superior oblique paralysis
- MeSH:
Brain;
Child;
Diagnosis;
Diplopia;
Dura Mater;
Head;
Humans;
Inflammation;
Magnetic Resonance Imaging;
Male;
Meningitis*;
Neuroimaging;
Neurologic Examination;
Paralysis*;
Strabismus;
Telescopes;
Trochlear Nerve
- From:Journal of the Korean Ophthalmological Society
2006;47(2):332-337
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Idiopathic hypertrophic cranial pachymeningitis (IHCP) is a rare disase, which causes chronic progressive inflammation and thickening of the basal dura mater. We report a case of IHCP associated with superior oblique paralysis and present a review of the literature. METHODS: An 8-year-old boy presented with binocular diplopia and left side head tilting. Suspecting right superior oblique muscle paralysis, an alternating prism test, head tilt test, fundus examinations, neurologic examination, and brain MRI were performed. RESULTS: The brain MRI revealed abnormal enhancement of the right tentorium in the course of the right fourth cranial nerve, leading to a diagnosis of IHCP with paralytic strabismus and the patient was treated with systemic steroid therapy. CONCLUSIONS: We report a case of IHCP with right superior oblique paralysis. Patients with recent onset paralytic strabismus require appropriate neurolgic and neuroimaging examinations.
