A Case of Germinoma Presenting with Pupil-involving Isolated Oculomotor Nerve Palsy.
- Author:
Kye Yeon PARK
1
;
Sung Hyun LEE
;
Woo Gyu BYEON
;
Dong Ick SHIN
;
Mi Sup SHIM
;
Sang Soo LEE
;
Seol Heui HAN
Author Information
1. Department of Neurology, Chungbuk National University College of Medicine.
- Publication Type:Original Article
- Keywords:
Oculomotor nerve palsy;
Germinoma
- MeSH:
Angiography;
Brain;
Catheters;
Cerebrospinal Fluid;
Child;
Germinoma*;
Humans;
Infarction;
Magnetic Resonance Imaging;
Male;
Meningitis;
Mesencephalon;
Oculomotor Nerve Diseases*;
Oculomotor Nerve*
- From:Journal of the Korean Neurological Association
2001;19(4):423-426
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In patients with pupil-involving isolated oculomotor nerve palsy (IOP), compressive lesions, meningitis, and midbrain infarction can usually be excluded if the responsible lesions are not verified on a brain MRI, catheter angiography, and cerebrospinal fluid examination. However, we experienced a 11-year-old boy with pupil-involving IOP whose initial investigations had been normal and whose symptoms had been stationary over 3 months but was eventually confirmed to have germinoma. This case suggests that a patient with IOP without improvement for a prolonged period needs re-evaluation regardless of normal initial investigations. (J Korean Neurol Assoc 19(4):423~426, 2001)
