Isolated third nerve palsy due to mesencephalic hematoma

Abrar A Wani; Anil Dhar; AU Ramzan; AH Kirmani; AR Bhatt

doi:10.1016/S0973-0508(07)80013-X

Indian Journal of Neurotrauma, Table of Contents

Indian Journal of Neurotrauma 2007; 04(01): 53-54
DOI: 10.1016/S0973-0508(07)80013-X

Case Report

Thieme Medical and Scientific Publishers Private Ltd.

Isolated third nerve palsy due to mesencephalic hematoma

Authors

Abrar A Wani
Anil Dhar
AU Ramzan
AH Kirmani
AR Bhatt

Subject Editor:

Abstract

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Abstract

Isolated cranial nerve palsy is an uncommon sequel in head injury. A 9-year-old child was admitted in comatose condition after falling from a house with right pupil dilatation and same eyeball deviated laterally. Clinical impression was that of a right sided traumatic hematoma and resulting uncal herniation leading to third nerve palsy. However, CT scan revealed a small hemorrhage in anterior tegmentum on right side. The majority of third nerve palsies following trauma have been reported due to lateral herniation syndrome but isolated third nerve palsy due to tegmental herniation is rare entity.

Keywords

tegmentum - hematoma - third nerve

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References

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