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Oculomotor nerve palsy in an 11-year-old boy with infandibuloneurohypophysitis Masahiko Ishizuka 1 , Yuji Hara 1 , Tone Suzuki 1 , Shigeki Machida 1 1Department of Ophthalmology, Dokkyo Medical University Saitama Medical Center pp.1285-1289
Published Date 2018/9/15
DOI https://doi.org/10.11477/mf.1410212822
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Abstract Purpose:To report an 11-year-old boy who developed oculomotor nerve palsy secondary to lymphocytic infandibuloneurohypophysitis(LINH).

Case:An 11-year-old boy presented with headache and diplopia. He was diagnosed as right oculomotor nerve palsy. Magnetic resonance imaging(MRI)showed a lesion 9.9 mm in size in the pituitary gland with enhanced contrast. Urinalysis showed central diabetes insipidus. He started receiving desmopressin at the daily dosis of 120 μg. The eye movement improved and the lesion of the pituitary gland reduced to 9.1 mm in size 6 weeks later. Thereafter, the oculomotor nerve palsy improved and the pituitary gland continued shrinking. The clinical course led to the diagnosis of LINH.

Conclusion:The present case illustrates that LINH may manifest as oculomotor nerve palsy in a child.


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