Oculomotor Nerve Synkinesis

Watana Navacharoen M.D.*,
Nimit Ittipantkul M.D.**,
Surapongs Duangratana M.D.**
*Department of Medicine,
**Department of Ophthalmology, Faculty of Medicine, Chiang Mai University, Chiang Mai.

    Abstract Three cases of oculomotor nerve synkinesis were reported. Two were the oculomotor nerve misdirection occurred after oculomotor nerve palsy from head injury and non-Hodgkin lymphoma infiltrated at parasellar region. The last one occurred without previous history of oculomotor nerve palsy. Computerized tomographic scan demonstrated ipsilateral cystic lesion in the cavernous sinus.

    The characteristics findings such as pseudo-Graefe sign, pseudo-Argyll Robertson pupil, horizontal gaze eyelid synkinesis and sector contraction of iris spincter were found in these casses. In the patient without previous history of occulomotor nerve palsy this syndrome harborred lesions of the cavernous sinus.

Thai J Ophthalmol 1988: March 2(1):30-34.