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Complete ophthalmoplegia as a complication of acute corticosteroid- and pancuronium-associated myopathy

Division of Neurology, University of Ottawa and Ottawa General Hospital, Ottawa, ON, Canada.

We report acute complete external ophthalmoplegia and severe myopathy in a patient treated with high doses of IV methylprednisolone and pancuronium. Awareness of this rare syndrome in a common clinical setting can lead to prompt recognition and avoid confusion with other causes of acute weakness and ophthalmoparesis.

Address correspondence and reprint requests to Dr. L.D. Sitwell, 1081 Carling Avenue, Suite 705, Ottawa, Ontario, K1Y 4G2, Canada.

Received August 15, 1990. Accepted for publication in final form November 20, 1990.

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