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

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

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

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

Neurology

Research output: Contribution to journal › Article › peer-review

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 language	English (US)
Pages (from-to)	1465-1466
Number of pages	2
Journal	Neurology
Volume	40
Issue number	9
State	Published - Sep 1990

ASJC Scopus subject areas

Clinical Neurology

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Cite this

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title = "Apoplectic headache and oculomotor nerve palsy: An unusual presentation of multiple sclerosis",

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.",

author = "Galer, {B. S.} and Lipton, {R. B.} and S. Weinstein and L. Bello and S. Solomon",

year = "1990",

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AU - Galer, B. S.

AU - Lipton, R. B.

AU - Weinstein, S.

AU - Bello, L.

AU - Solomon, S.

PY - 1990/9

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N2 - 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.

AB - 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.

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