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Idiopathic multiple cranial neuropathy. A twenty year experience
1Fourth Department of Internal Medicine, Toho UNiversity Ohashi Hospital, Tokyo, Japan.
Japanese Journal of Medicine
|May 1, 1989
Summary
Idiopathic multiple cranial neuropathy, characterized by pain and double vision preceding nerve palsy, often affects cranial nerves III, V, and VII. Corticosteroid treatment appears to accelerate recovery from this self-limiting condition.
Area of Science:
- Neurology
- Ophthalmology
Background:
- Idiopathic multiple cranial neuropathy is a rare condition.
- It presents with headache, facial pain, and diplopia before cranial nerve palsies develop.
Purpose of the Study:
- To report on a series of patients with idiopathic multiple cranial neuropathy.
- To describe the clinical presentation, treatment, and outcomes.
Main Methods:
- Case series of 8 patients.
- Clinical observation and assessment of treatment response.
Main Results:
- The third, fifth, and seventh cranial nerves were most frequently involved.
- All patients received corticosteroid therapy.
- Symptoms were self-limiting, and corticosteroids appeared to hasten functional recovery, with minimal residual deficits.
Conclusions:
- Idiopathic multiple cranial neuropathy is a treatable condition.
- Corticosteroid therapy is effective in accelerating recovery.
- The condition typically has a favorable prognosis.