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 journalArticlepeer-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 languageEnglish (US)
Pages (from-to)262-266
Number of pages5
JournalNeuro-Ophthalmology
Volume44
Issue number4
DOIs
StatePublished - Jul 3 2020
Externally publishedYes

Keywords

  • Knapp transposition
  • Tolosa-Hunt syndrome
  • oculomotor synkinesis

ASJC Scopus subject areas

  • Ophthalmology
  • Clinical Neurology

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