Title |
Pupil-Involving Third Nerve Palsy as a Manifestation of Anti-Myelin-Associated Glycoprotein Neuropathy |
Creator |
Tamhankar, Madhura A; Galetta, Steven L; Massaro, Mina; Balcer, Laura J; Stadtmauer, Edward A; Brown, Mark J |
Affiliation |
Department of Ophthalmology, Scheie Eye Institute, Hospital of the University of Pennsylvania |
Abstract |
A 56-year-old man developed a pupil-involving left third nerve palsy. Imaging studies of the brain and intracranial vessels were normal. Neurological examination demonstrated a sensory polyneuropathy and mild distal weakness. Nerve conduction studies showed prolonged distal motor latencies. An enzyme-linked immunosorbent assay test detected high titers of anti-myelin-associated glycoprotein (MAG) antibodies. The patient improved with prednisone and rituximab treatment. Anti-MAG neuropathy should be considered when evaluating a patient with an undiagnosed cranial neuropathy, especially in the setting of a sensory neuropathy. |
Subject |
Autoantibodies; Humans; Male; Middle Older people; Myelin-Associated Glycoprotein; Oculomotor Nerve Diseases; Peripheral Nervous System Diseases; Pupil |
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 |
227129 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s65t6rms/227129 |