Contents | 3 of 18
Ocular Neuromyotonia With Spastic Lid Closure
| Title | Journal of Neuro-Ophthalmology, December 2006, Volume 26, Issue 4 |
| Date | 2006-12 |
| Language | eng |
| Format | application/pdf |
| Type | Text |
| Publication Type | Journal Article |
| Collection | Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
| Publisher | Lippincott, Williams & Wilkins |
| Holding Institution | Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management | © North American Neuro-Ophthalmology Society |
| ARK | ark:/87278/s6wt209n |
| Setname | ehsl_novel_jno |
| ID | 225518 |
| Reference URL | https://collections.lib.utah.edu/ark:/87278/s6wt209n |
Page Metadata
| Title | Ocular Neuromyotonia With Spastic Lid Closure |
| Creator | Oohira, A; Furuya, T |
| Affiliation | Department of Ophthalmology, Tokyo Women's Medical University, Tokyo, Japan. ohira@wakaba-hp.or.jp |
| Abstract | Ocular neuromyotonia is characterized by tonic spasms of extraocular muscles evoked by eccentric gaze that induces transient strabismus and diplopia. We report the case of a 70-year-old woman who initially presented with unilateral deficits in fifth and sixth cranial nerve functions attributed to a fifth cranial nerve schwannoma. After radiation treatment, she developed neuromyotonia and synkinesis of the ipsilateral third cranial nerve. During the attacks of neuromyotonia, the left eyelids were often spastically closed, a phenomenon not previously reported. The ocular neuromyotonia regressed spontaneously within 3 years, but components of the synkinesis persisted. Ephaptic transmission in a damaged third cranial nerve may be responsible for the neuromyotonia and synkinesis. Synkinesis is a more enduring manifestation. |
| Subject | Abducens Nerve Diseases, etiology; Abducens Nerve Diseases, pathology; Abducens Nerve Diseases, physiopathology; Older people; Anticonvulsants, therapeutic use; Axons, pathology; Axons, radiation effects; Cranial Nerve Neoplasms, pathology; Cranial Nerve Neoplasms, physiopathology; Cranial Nerve Neoplasms, radiotherapy; Eyelid Diseases, etiology; Eyelid Diseases, physiopathology; Female; Humans; Muscle Spasticity, etiology; Muscle Spasticity, physiopathology; Nerve Degeneration, etiology; Nerve Degeneration, pathology; Nerve Degeneration, physiopathology; Neurilemmoma, pathology; Neurilemmoma, physiopathology; Neurilemmoma, radiotherapy; Ocular Motility Disorders, etiology; Ocular Motility Disorders, pathology; Ocular Motility Disorders, physiopathology; Oculomotor Nerve, pathology; Oculomotor Nerve, physiopathology; Oculomotor Nerve, radiation effects; Oculomotor Nerve Diseases, diagnosis; Oculomotor Nerve Diseases, etiology; Oculomotor Nerve Diseases, physiopathology; Radiotherapy, adverse effects; Treatment Outcome; Trigeminal Nerve Diseases, pathology; Trigeminal Nerve Diseases, physiopathology; Trigeminal Nerve Diseases, radiotherapy |
| Format | application/pdf |
| Publication Type | Journal Article |
| Collection | Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
| Publisher | Lippincott, Williams & Wilkins |
| Holding Institution | Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management | © North American Neuro-Ophthalmology Society |
| Setname | ehsl_novel_jno |
| ID | 225502 |
| Reference URL | https://collections.lib.utah.edu/ark:/87278/s6wt209n/225502 |