Acquired oculomotor nerve paresis with cyclic spasms in a young woman, a rare subtype of neuromyotonia

Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society
Avi GadothAnat Kesler

Abstract

To report an unusual case of cyclic oculomotor nerve paresis and spasms, which developed 5 years following brain radiotherapy for cerebellar medulloblastoma. Observational case report. The cyclic oculomotor nerve paresis and spasms resolved in our patient when treated with carbamazepine. However, because of severe photophobia and tearing, carbamazepine had to be discontinued leading to reappearance of the eye movement disorder. Cyclic oculomotor nerve paresis and spasms appear to be a delayed effect of radiotherapy and respond to carbamazepine therapy. It may be a rare form of ocular neuromyotonia.

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Citations

Jun 17, 2016·Current Treatment Options in Neurology·Michael StruppKatharina Feil
May 20, 2017·Acta neurologica Belgica·Aurélie TaylorMonique Cordonnier
Feb 27, 2019·Journal of Binocular Vision and Ocular Motility·Barrett ThompsonAmy McGregor
Jun 25, 2019·International Ophthalmology Clinics·Edward Margolin, Paul Freund
Mar 30, 2016·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·J Anna KimStacy L Pineles
Aug 25, 2020·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Guohong TianMin Wang

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