Third cranial nerve palsy from midbrain neurocysticercosis: repeated exacerbation on tapering corticosteroids.

Abstract

Third cranial nerve palsy is rare in neurocysticercosis and is usually caused by supratentorial or sub-arachnoid lesions with accompanying hydrocephalus or meningitis. We report a patient who presented with third cranial nerve palsy caused by neurocysticercosis involving the midbrain. The patient showed repeated exacerbation of symptoms on tapering corticosteroids. The experience with this patient indicates that tapering of corticosteroids should be performed very slowly in such cases.

• Authors: Ji Soo Kim, Seon-Mi Jeong, So Young Moon, Seong-Ho Park
• Journal: Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society (J Neuroophthalmol) Vol. 24 Issue 3 Pg. 217-20 (Sep 2004) ISSN: 1070-8022 [Print] United States
• PMID: 15348988 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Antibodies, Protozoan
• Antiprotozoal Agents
• Glucocorticoids
• Praziquantel
• Methylprednisolone

Topics

• Animals
• Antibodies, Protozoan (cerebrospinal fluid)
• Antiprotozoal Agents (administration & dosage)
• Blepharoptosis (drug therapy, etiology, physiopathology)
• Cerebrospinal Fluid (immunology)
• Cysticercus (immunology)
• Diplopia (drug therapy, etiology, physiopathology)
• Drug Therapy, Combination
• Enzyme-Linked Immunosorbent Assay
• Glucocorticoids (administration & dosage)
• Humans
• Magnetic Resonance Imaging
• Male
• Mesencephalon (pathology)
• Methylprednisolone (administration & dosage)
• Middle Aged
• Neurocysticercosis (complications, drug therapy, physiopathology)
• Oculomotor Nerve Diseases (drug therapy, etiology, physiopathology)
• Praziquantel (administration & dosage)
• Recurrence