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Pupil-Sparing Oculomotor Nerve Palsy due to Midbrain Infarction
Lenore A. Breen, MD;
Hanns C. Hopf, MD;
Bradley K. Farris, MD;
Ludwig Gutmann, MD
Arch Neurol. 1991;48(1):105-106.
Abstract
• Vasculopathic oculomotor nerve palsies with pupillary sparing are thought to be due to ischemic damage to the nerve in the subarachnoid space or the cavernous sinus. We present two cases of patients with isolated pupil-sparing oculomotor nerve palsies due to midbrain infarcts. Focal ischemic midbrain lesions should be considered in cases of pupil-sparing oculomotor nerve palsies.
Author Affiliations
From the Departments of Neurology (Drs Breen and Gutmann) and Ophthalmology (Dr Breen), West Virginia University School of Medicine, Morgantown; the Department of Neurology, University of Mainz (West Germany) (Dr Hopf); and the Departments of Ophthalmology, Neurology, and Neurosurgery, University of Oklahoma School of Medicine, Oklahoma City (Dr Farris).
Footnotes
Accepted for publication March 16, 1990.
Presented in part at the Academy of Neurology meeting, Chicago, Ill, April 1989.
Reprint requests to Department of Neurology, West Virginia University Health Sciences Center, Morgantown, WV 26506 (Dr Breen).
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