Apoplectic headache and oculomotor nerve palsy: An unusual presentation of multiple sclerosis

B. S. Galer, R. B. Lipton, S. Weinstein, L. Bello, S. Solomon

Research output: Contribution to journalArticle

29 Scopus citations

Abstract

A patient with a history of facial myokymia presented with apoplectic headache and a 3rd nerve palsy. Initial CT, lumbar puncture, and cerebral angiogram were unremarkable, but subsequent CSF examination revealed oligoclonal bands. MRI displayed over 30 white matter lesions. This case demonstrates that multiple sclerosis may present with severe headache and a 3rd nerve palsy, simulating the clinical picture of a posterior communicating artery aneurysm.

Original languageEnglish (US)
Pages (from-to)1465-1466
Number of pages2
JournalNeurology
Volume40
Issue number9
StatePublished - Sep 1990

ASJC Scopus subject areas

  • Clinical Neurology

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    Galer, B. S., Lipton, R. B., Weinstein, S., Bello, L., & Solomon, S. (1990). Apoplectic headache and oculomotor nerve palsy: An unusual presentation of multiple sclerosis. Neurology, 40(9), 1465-1466.