Oculomotor Synkinesis (Aberrant Reinnervation of the Third Cranial Nerve) Associated with Atypical Tolosa-Hunt Syndrome

Glenn R. Harris; Mark P. Breazzano; Irene Shyu; Sean P. Donahue; Patrick J.M. Lavin

doi:10.1080/01658107.2019.1576738

Oculomotor Synkinesis (Aberrant Reinnervation of the Third Cranial Nerve) Associated with Atypical Tolosa-Hunt Syndrome

Glenn R. Harris, Mark P. Breazzano, Irene Shyu, Sean P. Donahue, Patrick J.M. Lavin

Research output: Contribution to journal › Article › peer-review

Abstract

A 70-year-old woman with systemic lupus erythematosus developed a painful pupil-involving right third nerve palsy, ipsilateral fourth nerve palsy, and periorbital paraesthesia. Magnetic resonance imaging demonstrated enhancement and thickening of the right third nerve, and she was diagnosed with presumed Tolosa-Hunt syndrome. Repeated imaging seven months later showed resolution of the enhancing thickened oculomotor nerve, but the patient developed signs of oculomotor synkinesis. This presentation demonstrates a rare case of oculomotor synkinesis secondary to inflammation.

Original language	English (US)
Pages (from-to)	262-266
Number of pages	5
Journal	Neuro-Ophthalmology
Volume	44
Issue number	4
DOIs	https://doi.org/10.1080/01658107.2019.1576738
State	Published - Jul 3 2020
Externally published	Yes

Keywords

Knapp transposition
Tolosa-Hunt syndrome
oculomotor synkinesis

ASJC Scopus subject areas

Ophthalmology
Clinical Neurology

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10.1080/01658107.2019.1576738

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title = "Oculomotor Synkinesis (Aberrant Reinnervation of the Third Cranial Nerve) Associated with Atypical Tolosa-Hunt Syndrome",

abstract = "A 70-year-old woman with systemic lupus erythematosus developed a painful pupil-involving right third nerve palsy, ipsilateral fourth nerve palsy, and periorbital paraesthesia. Magnetic resonance imaging demonstrated enhancement and thickening of the right third nerve, and she was diagnosed with presumed Tolosa-Hunt syndrome. Repeated imaging seven months later showed resolution of the enhancing thickened oculomotor nerve, but the patient developed signs of oculomotor synkinesis. This presentation demonstrates a rare case of oculomotor synkinesis secondary to inflammation.",

keywords = "Knapp transposition, Tolosa-Hunt syndrome, oculomotor synkinesis",

author = "Harris, {Glenn R.} and Breazzano, {Mark P.} and Irene Shyu and Donahue, {Sean P.} and Lavin, {Patrick J.M.}",

note = "Funding Information: This work was supported by a grant from Tennessee Lions Charities and a grant from Research to Prevent Blindness, New York, NY. Publisher Copyright: {\textcopyright} 2019, {\textcopyright} 2019 Taylor & Francis Group, LLC.",

year = "2020",

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doi = "10.1080/01658107.2019.1576738",

language = "English (US)",

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AU - Breazzano, Mark P.

AU - Shyu, Irene

AU - Donahue, Sean P.

AU - Lavin, Patrick J.M.

N1 - Funding Information: This work was supported by a grant from Tennessee Lions Charities and a grant from Research to Prevent Blindness, New York, NY. Publisher Copyright: © 2019, © 2019 Taylor & Francis Group, LLC.

PY - 2020/7/3

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N2 - A 70-year-old woman with systemic lupus erythematosus developed a painful pupil-involving right third nerve palsy, ipsilateral fourth nerve palsy, and periorbital paraesthesia. Magnetic resonance imaging demonstrated enhancement and thickening of the right third nerve, and she was diagnosed with presumed Tolosa-Hunt syndrome. Repeated imaging seven months later showed resolution of the enhancing thickened oculomotor nerve, but the patient developed signs of oculomotor synkinesis. This presentation demonstrates a rare case of oculomotor synkinesis secondary to inflammation.

AB - A 70-year-old woman with systemic lupus erythematosus developed a painful pupil-involving right third nerve palsy, ipsilateral fourth nerve palsy, and periorbital paraesthesia. Magnetic resonance imaging demonstrated enhancement and thickening of the right third nerve, and she was diagnosed with presumed Tolosa-Hunt syndrome. Repeated imaging seven months later showed resolution of the enhancing thickened oculomotor nerve, but the patient developed signs of oculomotor synkinesis. This presentation demonstrates a rare case of oculomotor synkinesis secondary to inflammation.

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Oculomotor Synkinesis (Aberrant Reinnervation of the Third Cranial Nerve) Associated with Atypical Tolosa-Hunt Syndrome

Abstract

Keywords

ASJC Scopus subject areas

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