[Ocular neuromyotonia after radiation therapy].

Abstract

Ocular neuromyotonia is a rare disease that is diagnosed mainly in patients treated with radiation. All such patients described in the literature presented with temporary diplopic images as a common symptom. In our case, the patient described an abducens paresis of the right eye combined with a sporadic exotropia half a year after radiation treatment of an epipharynx carcinoma. An adduction deficit on the right side could be triggered by holding the gaze to the right over a longer period of time, leading to exotropia in the primary position and gaze to the left. Symptoms were reduced with carbamazepine.

• Authors: M van Waveren, V Herzau, D Besch
• Journal: Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft (Ophthalmologe) Vol. 106 Issue 1 Pg. 47-51 (Jan 2009) ISSN: 1433-0423 [Electronic] Germany
• Vernacular Title: Okuläre Neuromyotonie nach Strahlentherapie.
• PMID: 18607604 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Abducens Nerve Diseases (diagnosis, etiology)
• Diplopia (diagnosis, etiology)
• Female
• Humans
• Isaacs Syndrome (diagnosis, etiology)
• Middle Aged
• Radiation Injuries (diagnosis, etiology)
• Radiotherapy, Conformal (adverse effects)