期刊
JOURNAL OF CLINICAL NEUROSCIENCE
卷 67, 期 -, 页码 263-265出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.jocn.2019.06.029
关键词
Medial rectus palsy; Trauma; Closed head injury
Isolated traumatic medial rectus palsies associated with closed head injury is rarely reported in literature. We report the case of a 48 year-old male with an isolated right medial rectus palsy following a mechanical fall with occipital headstrike. Bifrontal and bitemporal haemorrhagic contusions were seen on computed tomography (CT). Magnetic resonance imaging (MRI) revealed a T2 hyperintense lesion at the right paramedian dorsal midbrain, with changes on diffusion weighted imaging (DWI) and apparent diffusion coefficient (ADC), suggestive of ischaemic changes in the oculomotor nucleus. He was followed up at two and six-weeks. (C) 2019 Elsevier Ltd. All rights reserved.
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