J Korean Soc Traumatol.  2017 Jun;30(2):66-69. 10.20408/jti.2017.30.2.66.

Bilateral Oculomotor Nerve Palsy after Head Trauma: A Case Report

• Noh HW
• Song JY
• Kim JH
• Kim JH

• KMID: 2392712
• DOI: http://doi.org/10.20408/jti.2017.30.2.66

Abstract

We introduce a patient who was suffered from isolated traumatic bilateral oculomotor nerve palsy after head trauma. The patient presented with bilateral ptosis and abnormal pupilary responses with slightly drowsy mentality at first. Performed images demonstrated some hematomas along subarachnoid, intraventricular, subdural spaces and multiple small supratentorial contusions. There was no bony abnormality or ligament injury. We assumed that small amount of interpeduncular hematoma might be the proper lesion associated with oculomotor nerve palsies, since the clinical symptom and signs presented bilaterally and the oculomotor neural fascicles run through the interpeduncular fossa.

Keyword

Bilateral; Oculomotor nerve palsy; Head trauma

MeSH Terms

Contusions
Craniocerebral Trauma*
Head*
Hematoma
Humans
Ligaments
Oculomotor Nerve Diseases*
Oculomotor Nerve*
Subdural Space