Bilateral Oculomotor Nerve Palsy after Head Trauma: A Case Report

Noh,  Hae Won; Song,  Jae Young; Kim,  Jong Hyun; Kim,  Jang Hun

doi:2017.30.2.66

J Trauma Inj > Volume 30(2); 2017 > Article

Case Report

Journal of Trauma and Injury 2017;30(2):66-69.
DOI: https://doi.org/10.20408/jti.2017.30.2.66 Published online June 30, 2017.

Bilateral Oculomotor Nerve Palsy after Head Trauma: A Case Report

Hae Won Noh, Jae Young Song, Jong Hyun Kim, Jang Hun Kim

Department of Neurosurgery, Guro Hospital, Korea University College of Medicine, Seoul, Korea. jhkimns@naver.com

Received: 4 April 2017 • Revised: 10 May 2017 • Accepted: 10 May 2017

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.

Key Words: Bilateral; Oculomotor nerve palsy; Head trauma