J Korean Neurol Assoc.  2016 Aug;34(3):239-242. 10.17340/jkna.2016.3.15.

An Idiopathic Hypertrophic Tentorial Pachymeningitis Presented as an Alternating Recurrent Painful Ophthalmoplegia

Affiliations
  • 1Department of Neurology, Dong-A University College of Medicine, Busan, Korea. advania9@chol.com
  • 2Department of Ophthalmologya, Dong-A University College of Medicine, Busan, Korea.

Abstract

Alternating recurrent painful ophthalmoplegia is caused by various neurological conditions including Tolosa-Hunt syndrome, sellar mass, and parasagittal meningioma. We experienced a rare case of recurrent painful ophthalmoplegia occurring on the contralateral side as a manifestation of idiopathic hypertrophic tentorial pachymeningitis. We propose that idiopathic hypertrophic pachymeningitis should be considered in the differential diagnosis of alternating recurrent painful ophthalmoplegia.

Keyword

Meningitis; Ophthalmoplegia; Tolosa-Hunt syndrome
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