AUTHOR=Purvin Valerie TITLE=Vasculopathic Cranial Ocular Motor Neuropathy Following Sudden Emotional Stress JOURNAL=Frontiers in Neurology VOLUME=1 YEAR=2010 URL=https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2010.00145 DOI=10.3389/fneur.2010.00145 ISSN=1664-2295 ABSTRACT=

We describe three patients who experienced onset of a microvascular ocular motor nerve palsy in the setting of sudden emotional stress. Such emotional states are accompanied by a marked increase in sympathetic tone in some individuals. Mechanisms by which these autonomic changes might produce an ischemic cranial nerve palsy include intra-cranial vasoconstriction and transient systemic hypotension due to alterations in cardiac function.