Traumatic oculomotor nerve palsy

Kaido, Toshimi; Tanaka, Yoshihiro; Kanemoto, Yukihide; Katsuragi, Yoshiaki; Okura, Hisakazu

doi:10.1016/j.jocn.2005.08.020

Cited by 41 publications

(26 citation statements)

References 18 publications

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“…In some cases of ONP, there may be “pupil sparing”, in which the pupils are not involved. The relative resistance of parasympathetic fibers to ischemia compared to sympathetic and somatic nerve fibers has been proposed as a mechanism for this phenomenon 27,28. Pupil-sparing effects were not observed in our patient.…”

Section: Discussionsupporting

confidence: 43%

Isolated oculomotor nerve palsy resulting from acute traumatic tentorial subdural hematoma

Cui

Kouliev

2016

OAEM

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Acute subdural hematoma (SDH) resulting from head trauma is a potentially life-threatening condition that requires expedient diagnosis and intervention to ensure optimal patient outcomes. Rapidly expanding or large hematomas, elevated intracranial pressure, and associated complications of brain herniation are associated with high mortality rates and poor recovery of neurological function. However, smaller bleeds (clot thickness <10 mm) or hematomas occurring in infrequent locations, such as the tentorium cerebelli, may be difficult to recognize and patients may present with unusual or subtle signs and symptoms, including isolated cranial nerve palsies. Knowledge of neuroanatomy supported by modern neuroimaging can greatly aid in recognition and diagnosis of such lesions. In this report, we present a case of isolated oculomotor nerve palsy resulting from compressive tentorial SDH following blunt head trauma, review the literature concerning similar cases, and make recommendations regarding the diagnosis of SDH in patients presenting with isolated cranial nerve palsies.

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Section: Discussionsupporting

confidence: 43%

Isolated oculomotor nerve palsy resulting from acute traumatic tentorial subdural hematoma

Cui

Kouliev

2016

OAEM

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“…from diabetes mellitus or hypertension typically presented as pupil sparing. 3,18 In one report of causes of pupil-sparing third nerve palsy, 19 the authors suggested that neuroimaging was necessary for screening of mass lesions.…”

Section: Differential Diagnosis Of Oculomotor Nerve Palsymentioning

confidence: 99%

“…The topographical anatomy of the oculomotor nerve, with peripheral location of the pupillomotor fibers, may explain the tendency of pupil-sparing in patients with ptosis or diplopia. 18 Robert et al noted that, in patients with oculomotor nerve palsy due to pituitary tumor, of all the muscles supplied by the third nerve, the levator palpebrae superioris was the most commonly affected, with partial or complete ptosis. 13 Ptosis developed in 86.9% of our patients and was always the first manifestation of the oculomotor palsy.…”

Section: Clinical Presentation and Disease Course Of Oculomotor Palsymentioning

confidence: 99%

Surgical outcome of oculomotor nerve palsy in pituitary adenoma

Chuang

Chen

Huang

et al. 2011

Journal of Clinical Neuroscience

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“…12 While awaiting for spontaneous recovery, options to prevent disabling diplopia are patching the affected eye, wearing prism lenses, or injection of botulinum toxin into the lateral rectus. 13 Our patient was fortunate to have almost complete recovery of oculomotor nerve function without intervention. His diplopia completely resolved subjectively; however, in far upgaze, there is still a small amount of residual diplopia.…”

Section: Commentsmentioning

confidence: 71%

A Rare Case of Penetrating Trauma Resulting in Isolated Third Nerve Palsy

Story

Patterson

McWilliams

et al. 2016

Neuro-Ophthalmology

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A 23-year-old male presented to the emergency department with right eye pain, right upper eyelid ptosis, blurry vision, and binocular diplopia that developed immediately after he bent over in a parking lot and the antenna of a car penetrated his right upper eyelid. An extensive workup was performed, and he was found to have an isolated traumatic oculomotor nerve palsy with pupil involvement. No other ocular findings of a traumatic injury were present. The patient was observed for 14 months, during which he continually improved, with almost complete resolution of his diplopia, anisocoria, and ptosis.ARTICLE HISTORY

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Traumatic oculomotor nerve palsy

Cited by 41 publications

References 18 publications

Isolated oculomotor nerve palsy resulting from acute traumatic tentorial subdural hematoma

Isolated oculomotor nerve palsy resulting from acute traumatic tentorial subdural hematoma

Surgical outcome of oculomotor nerve palsy in pituitary adenoma

A Rare Case of Penetrating Trauma Resulting in Isolated Third Nerve Palsy

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