Bifrontal Extradural Hematoma (EDH) Causing Isolated Right 3rd Nerve Palsy with Spontaneous Partial Recovery

Authors

  • Amit Dagar Assistant Professor, Department, of Neurosurgery PGIMER, Dr RML Hospital, New Delhi-110001, India Author
  • Yawar Shoaib Ali Assistant Professor, Department, of Neurosurgery PGIMER, Dr RML Hospital, New Delhi-110001, India. Author
  • Shinde Shushil Kumar Senior Resident, Department of Neurosurgery PGIMER, Dr RML Hospital, New Delhi-110001, India Author
  • Laxmi Narayan Gupta Professor and Head, Department of Neurosurgery PGIMER, Dr RML Hospital, New Delhi-110001, India. Author

DOI:

https://doi.org/10.21276/9hkxfj15

Keywords:

Extradural hematoma, oculomotor nerve palsy.

Abstract

All neurosurgeons are aware of traumatic intracranial hematomas presenting with oculomotor nerve palsy which requires immediate surgical intervention. Isolated third nerve palsy with no other neurological signs due to head injury is a rare occurrence. We report a case of head injury with bifrontal extradural hematoma presenting as  isolated right sided  third nerve palsy which partially improved with nonsurgical management. We also discuss the possible causes of such involvement.

Downloads

Download data is not yet available.

References

Jennett B. Prognosis after severe head injury. Clin Neurosurg 1972; 19: 200-7.

Solomons DJ, Solomon JC, de Villiers D. Direct traumatic third nerve palsy. S Afr Med J 1980; 58: 109-11.

Walsh FB, Hoyt FW. Clinical neuro-ophthalmology. Baltimore: Williams and Wilkins, 1969: 3: 2388-9.

Chen CC, Pai YM, Wang RF, Wang TL, Chong CF. Isolated oculomotor nerve palsy from minor head trauma.Br J Sports Med 2005;39:e34.

Ealmaan Kim, Hyukwon Chang. Isolated Oculomotor Nerve Palsy Following Minor Head Trauma : Case Illustration and Literature Review. J Korean Neurosurg Soc 2013;54(5): 434-436.

Phookan G, Cameroon M. Bilateral chronic subdural hematoma :an unusual presentation with isolated oculomotor nerve palsy. J Neurol Neurosurg Psychiatry 1994 Sept ;57(9):1146.

Rucker CW. Paralysis of the third, fourth and sixth cranial nerves. Am J Ophthalmol 1958;46:787–94.

Kennard C. Disordersof eye movementsI. InSwash M, Oxbury J, eds. Clinical Neurology. Edinburgh. Churchill Livingstone 1991: 446-447.

Goldstein JE, Cogan DG. Diabetic ophthalmoplegia with special reference to the pupil. Arch Ophthalmol1960;64:592-600.

Gassel MM. False localizing signs. Arch Neurol1961;4:526-54.

Heinz J. Cranial nerve avulsion and other neural injuries. Med J Aust 1969;2: 1246–9.

Mariak Z, Mariak Z, Stankiewicz A. Cranial nerve II-VII injuries in fatal head trauma. Eur J Ophthalmol1997;7:68–72.

Muthu P,PrittyP. Mild head injury with isolated thirdnerve palsy. Emerg Med J 2001;18:310–1.

Bacler LJ, Galetta SL, Bagley LJ, et al. Localization of traumatic oculomotor nerve palsy to the midbrain exit site by MRI. Am J Ophthalmol 1996;22:437–9.

Downloads

Published

10.04.2024

Issue

Section

CASE REPORT

Similar Articles

1-10 of 26

You may also start an advanced similarity search for this article.