Journal of the Korean Ophthalmological Society 2006;47(2):332-337.
Published online February 28, 2006.
Right Superior Oblique Paralysis associated with Idopathic Hypertropic Cranial Pachymeningitis.
Eon Jeong Kim, Jong Myong Kim, Ji Myong Yoo
Department of Ophthalmology, Gyeongsang National University, College of Medicine, Gyeong nam, Korea. YJM@nongae.gsnu.ac.kr
특발성 비후성 두개 경막염과 동반된 우안 상사근 마비
김언정,김종명,유지명
Department of Ophthalmology, Gyeongsang National University, College of Medicine, Gyeong nam, Korea
Correspondence:  Eon Jeong Kim, M.D.
Abstract
PURPOSE
Idiopathic hypertrophic cranial pachymeningitis (IHCP) is a rare disase, which causes chronic progressive inflammation and thickening of the basal dura mater. We report a case of IHCP associated with superior oblique paralysis and present a review of the literature. METHODS: An 8-year-old boy presented with binocular diplopia and left side head tilting. Suspecting right superior oblique muscle paralysis, an alternating prism test, head tilt test, fundus examinations, neurologic examination, and brain MRI were performed. RESULTS: The brain MRI revealed abnormal enhancement of the right tentorium in the course of the right fourth cranial nerve, leading to a diagnosis of IHCP with paralytic strabismus and the patient was treated with systemic steroid therapy. CONCLUSIONS: We report a case of IHCP with right superior oblique paralysis. Patients with recent onset paralytic strabismus require appropriate neurolgic and neuroimaging examinations.
Key Words: Brain MRI;Idiopathic hypertrophic cranial pachymeningitis;Superior oblique paralysis


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