A case of intracranial oculomotor nerve neurinoma arising in the inter
peduncular fossa presented over the course of a year as an oculomotor
nerve palsy. Although computerised tomography and pre-contrast magneti
c resonance imaging were negative, post-contrast magnetic resonance im
aging revealed the tumour which was less than 1 cm in maximum diameter
. The tumour was safely removed on the basis of magnetic resonance app
earances. This case emphasises that magnetic resonance imaging is usef
ul in the detection of such lesions at an early stage of their develop
ment.