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- Joshua J Lim, H Brent Clark, and Andrew W Grande.
- Department of Neurosurgery, University of Minnesota, Minneapolis, Minnesota, USA. Electronic address: limxx132@umn.edu.
- World Neurosurg. 2017 Feb 1; 98: 880.e1-880.e4.
BackgroundHypertrophic neuropathy is a rare entity commonly associated with peripheral nerve, characterized by onion bulb formations. Its cranial nerve involvement is very rare; only 7 cases have been found in the literature.Case DescriptionA 32-year-old white man with a 5-year history of intermittent right retro-orbital headache and mild right ptosis presented to the Neurosurgery Clinic. A magnetic resonance imaging of his brain demonstrated an enhancing lesion associated with the right third nerve. He underwent biopsy of the lesion, and its pathology report confirmed the diagnosis of hypertrophic neuropathy. Within 4 months, his third nerve palsy had completely resolved and was functioning fully.ConclusionsHere, we report a first case of isolated hypertrophic neuropathy involving the oculomotor nerve.Copyright © 2016 Elsevier Inc. All rights reserved.
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