Image Diagnosis: Headache and an Isolated Oculomotor Nerve Palsy

Image diagnosis: headache and an isolated oculomotor nerve palsy.

Donald Mebust, MD, is an Emergency Physician at the San Diego Medical Center in CA. E-mail: [email protected]. Case Study A 55-year-old woman presented to the Emergency Department with complaints of headache, diplopia, and double vision (Figure 1). Patient noted 2 weeks of an aching right-sided headache and a “droopy eyelid.” Three days before our evaluation, her symptoms worsened and she ...

Traumatic Oculomotor Nerve Palsy

Oculomotor nerve palsy generally presents with mydriasis, blepharoptosis, and impairment of extraocular muscle movement. The incidence of primary traumatic oculomotor nerve palsy in craniocerebral trauma is approximately 1.2% [1]. The causes of oculomotor nerve palsy are congenital, traumatic, vascular, migrainous, and parainfectious. Especially in children, it is often caused by congenital fac...

A Rare Presentation of Isolated Oculomotor Nerve Palsy due to Multiple Sclerosis in a Child

     Multiple sclerosis (MS) is an inflammatory, demyelinating, neurodegenerative disorder of the central nervous system (CNS) of unknown etiology. Isolated oculomotor nerve palsy is found rarely in children with MS. We present a case of MS in 10-year-old boy, who had bilateral ptosis associated with medial gaze restriction. The extraocular muscle examination demonstrated bilateral adduction pa...

Delayed and isolated oculomotor nerve palsy following minor head trauma

BACKGROUND The purpose of this study was to consider the mechanism of isolated oculomotor nerve palsy after minor head trauma. CASE DESCRIPTION We report a rare case of delayed and isolated oculomotor nerve palsy following minor head trauma. A 19-year-old boy complained of double vision 1 day after a minor head trauma. Neuro-ophthalmic examination showed isolated left oculomotor nerve palsy. ...

Oculomotor nerve palsy.