Posttraumatic pneumocephalus-induced bilateral oculomotor nerve palsy

Bilateral third nerve palsy often points to the involvement of its nucleus. Third nerve palsy as a result of posttraumatic nuclear involvement is an extremely rare condition. A 23-year-old man presented with a depressed skull fracture after acute head trauma and had Glasgow Coma Scale Score of 9. Th...

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Bibliographic Details
Published in:Clinical neurology and neurosurgery 2005-12, Vol.108 (1), p.84-86
Main Authors: Aygun, Dursun, Doganay, Zahide, Baydin, Ahmet, Akyol, Murat, Senel, Alparslan, Nural, M. Selim, Otal, Yavuz, Guven, Hakan
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Head trauma
Humans
Male
Medical sciences
Neurology
Neurosurgery
Oculomotor Nerve Diseases - etiology
Pneumocephalus
Pneumocephalus - complications
Pneumocephalus - diagnosis
Pneumocephalus - therapy
Skull Fracture, Depressed - complications
Skull Fracture, Depressed - diagnosis
Skull Fracture, Depressed - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Third nerve palsy
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Summary:Bilateral third nerve palsy often points to the involvement of its nucleus. Third nerve palsy as a result of posttraumatic nuclear involvement is an extremely rare condition. A 23-year-old man presented with a depressed skull fracture after acute head trauma and had Glasgow Coma Scale Score of 9. The diameters of the pupils were 6.5 and 7.5 mm and they were not reactive to light stimulation. There was bilateral ptosis. Computed tomography (CT) relieved bilateral perimesensephalic pneumocephalus. We suggested that bilateral oculomotor nerve paresis might develop in association with posttraumatic bilateral perimesensephalic pneumocephalus, which affected the nucleus of the third nerve.
ISSN:0303-8467
1872-6968
DOI:10.1016/j.clineuro.2004.11.015