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  • Title: Ocular neuromyotonia treated by microvascular decompression: usefulness of preoperative 3D imaging: case report.
    Author: Inoue T, Hirai H, Shimizu T, Tsuji M, Shima A, Suzuki F, Matsuda M.
    Journal: J Neurosurg; 2012 Dec; 117(6):1166-9. PubMed ID: 23020768.
    Abstract:
    Ocular neuromyotonia is a rare ocular motility disorder characterized by involuntary contraction of extraocular muscles resulting in paroxysmal diplopia. Although ocular neuromyotonia is reported as a rare complication after radiation therapy, there are a few cases of ocular neuromyotonia in the absence of irradiation. In the reported cases the possibility of vascular compression has been suggested on radiological imaging. The authors report a case of ocular neuromyotonia treated by microvascular decompression of the third cranial nerve, supporting the hypothesis that neurovascular compression may play a role in its pathogenesis. The usefulness of preoperative 3D imaging for microvascular decompression is also discussed.
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