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J Neurol Surg A Cent Eur Neurosurg 2012; 73(05): 334-336
DOI: 10.1055/s-0032-1313720
DOI: 10.1055/s-0032-1313720
Case Report
Delayed Oculomotor Palsy from Focal Brainstem Ischemia in a Patient with a Head Injury[*]
Further Information
Publication History
Publication Date:
01 August 2012 (online)

Introduction
Oculomotor palsy can result from trauma, tumor, cerebral aneurysm, diabetes mellitus, infection, neurodegenerative diseases, or myasthenia gravis.[3] Among these, traumatic oculomotor palsy is rare, and the majority of such cases is thought to be caused by injury of cisternal portion of the oculomotor nerve.[7] Only a few cases of traumatic oculomotor palsy are associated with a brainstem injury.[1] [2] [6] [7] We report on a patient with oculomotor palsy related to a focal ischemic lesion in the brainstem after a head injury.
* This article was originally published online in Central European Neurosurgery on July 20, 2011 (DOI: 10.1055/s-0031-1283119)
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References
- 1 Balcer LJ, Galetta SL, Bagley LJ , et al. Localization of traumatic oculomotor nerve palsy to the midbrain exit site by magnetic resonance imaging. Am J Ophthalmol 1996; 122: 437-439
- 2 Blake PY, Mark AS, Kattah J , et al. MR of oculomotor nerve palsy. AJNR Am J Neuroradiol 1995; 16: 1665-1672
- 3 Brazis PW. Isolated palsies of cranial nerves III, IV, and VI. Semin Neurol 2009; 29: 14-28
- 4 Heinze J. Cranial nerve avulsion and other neural injuries. Med J Aust 1969; 2: 1246-1249
- 5 Huisman TA, Sorensen AG, Hergan K , et al. Diffusion-weighted imaging for the evaluation of diffuse axonal injury in closed head injury. J Comp Assist Tomogr 2003; 27: 5-11
- 6 Tognetti F, Godano U, Galassi E. Bilateral traumatic third nerve palsy. Surg Neurol 1988; 29: 120-124
- 7 Tokuno T, Kawakami Y, Yamamoto T. Isolated infranuclear oculomotor nerve palsy caused by traumatic midbrain hemorrhage: case report. No Shinkei Geka 1996; 24: 849-852
- 8 Tokuno T, Nakazawa K, Yoshida S , et al. Primary oculomotor nerve palsy due to head injury: analysis of 10 cases. No Shinkei Geka 1995; 23: 497-501
- 9 Warwick R. Representation of the extraocular muscles in the oculomotor nuclei of the monkey. J Comp Neurol 1953; 98: 449-503