Isolated Oculomotor Nerve Palsy Following Minor Head Trauma : Case Illustration and Literature Review.
10.3340/jkns.2013.54.5.434
- Author:
Ealmaan KIM
1
;
Hyukwon CHANG
Author Information
1. Department of Neurosurgery, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea. bach1158@dsmc.or.kr
- Publication Type:Case Report
- Keywords:
Computed tomography;
Head injury;
Magnetic resonance imaging;
Oculomotor nerve;
Oculomotor nerve palsy
- MeSH:
Adult;
Craniocerebral Trauma*;
Diagnosis;
Female;
Head Injuries, Closed;
Head*;
Humans;
Magnetic Resonance Imaging;
Oculomotor Nerve Diseases*;
Oculomotor Nerve*;
Orbit;
Walking
- From:Journal of Korean Neurosurgical Society
2013;54(5):434-436
- CountryRepublic of Korea
- Language:English
-
Abstract:
Isolated oculomotor nerve palsy (ONP) attributable to mild closed head trauma is a distinct rarity. Its diagnosis places high demands on the radiologist and the clinician. The authors describe this condition in a 36-year-old woman who slipped while walking and struck her face. Initial computed tomography did not reveal any causative cerebral and vascular lesions or orbital and cranial fractures. Enhancement and swelling of the cisternal segment of the oculomotor nerve was seen during the subacute phase on thin-sectioned contrast-enhanced magnetic resonance images. The current case received corticosteroid therapy, and then recovered fully in 13 months after injury. Possible mechanism of ONP from minor head injury is proposed and previous reports in the literature are reviewed.
