Recurrent isolated oculomotor nerve palsy after radiation of a mesencephalic metastasis. Case report and mini-review

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Abstract

Introduction: Recurrent oculomotor nerve palsies are extremely rare clinical conditions. Case report: Here, we report on a unique case of a short-lasting recurrent unilateral incomplete external and complete internal oculomotor nerve palsy. The episodic palsies were probably caused by an ipsilateral mesencephalic metastasis of a breast carcinoma and occurred after successful brain radiation therapy. Discussion: While the pathogenic mechanism remains unclear, the recurrent sudden onset and disappearance of the palsies and their decreasing frequency after antiepileptic treatment suggest the occurrence of epilepsy-like brainstem seizures. A review of case reports of spontaneous reversible oculomotor nerve palsies is presented. © 2014 Grabau, Leonhardi and Reimers.

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Grabau, O., Leonhardi, J., & Reimers, C. D. (2014). Recurrent isolated oculomotor nerve palsy after radiation of a mesencephalic metastasis. Case report and mini-review. Frontiers in Neurology, 5 JUN, 123. https://doi.org/10.3389/fneur.2014.00123

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