Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Bilateral Oculomotor Nerve Palsy after Head Trauma: A Case Report

  • Noh, Hae Won (Department of Neurosurgery, Guro Hospital, Korea University College of Medicine) ;
  • Song, Jae Young (Department of Neurosurgery, Guro Hospital, Korea University College of Medicine) ;
  • Kim, Jong Hyun (Department of Neurosurgery, Guro Hospital, Korea University College of Medicine) ;
  • Kim, Jang Hun (Department of Neurosurgery, Guro Hospital, Korea University College of Medicine)
  • Received : 2017.04.04
  • Accepted : 2017.05.10
  • Published : 2017.06.30
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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.

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References

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