Oculomotor Nerve Palsy following Cardiac Tamponade with Churg-Strauss Syndrome: A Case Report.

Abstract

A 57-year-old man with a history of more than 10 years of bronchial asthma and chronic sinusitis complained of double vision which developed 18 days after cardiac tamponade with eosinophil-rich fluid (eosinophils 30%). He had oculomotor nerve palsy, and a blood test revealed eosinophilia (12,700/mm(3)) and elevation of both C-reactive protein and rheumatoid factor. He was diagnosed as having Churg-Strauss syndrome. His symptoms were relieved by corticosteroid therapy. Our case and previous cases in the literature revealed that oculomotor nerve palsy in Churg-Strauss syndrome is associated with pupil involvement and may be relieved by corticosteroid treatment.

• Authors: Kazuki Suganuma, Takao Hashimoto, Hiromasa Sato, Tomohiro Suzuki, Shunpei Sakurai
• Journal: Case reports in neurology (Case Rep Neurol) Vol. 3 Issue 3 Pg. 274-7 (Sep 2011) ISSN: 1662-680X [Electronic] Switzerland
• PMID: 22125528 (Publication Type: Case Reports)