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Recurrent oculomotor neuritis related to autoimmune hypothyroidism
- Authors
- Choi, Hye-Yeon; Rhee, Hak Young; Shin, Hae-Won
- Issue Date
- 2015
- Publisher
- MAGHIRA & MAAS PUBLICATIONS
- Keywords
- thyroid-associated ophthalmopathy; hypothyroidism, autoimmune; cranial nerves, recurrent paresis; anti-thyroglobulin antibody; oculomotor nerve; thyroid microsomal antibodies
- Citation
- NEUROENDOCRINOLOGY LETTERS, v.36, no.4, pp 303 - 305
- Pages
- 3
- Journal Title
- NEUROENDOCRINOLOGY LETTERS
- Volume
- 36
- Number
- 4
- Start Page
- 303
- End Page
- 305
- ISSN
- 0172-780X
- Abstract
- Ophthalmopathy related to thyroid disease is due mainly to diffuse periorbital or eye muscle inflammation. It is more common in Grave's hyperthyroidism and rare in Hashimoto's hypothyroidism. Here we report a case of recurrent oculomotor nerve palsy associated with autoimmune hypothyroidism. Brain MRI revealed enhancement of the oculomotor nerves. Despite thyroid hormone replacement therapy, oculomotor nerve palsy recurred at the side contralateral to the initially involved nerve and the autoimmune antibody titer remained high. The symptom was responsive to high-dose steroid therapy.
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