Isolated medial rectus palsy following closed head injury
| Autor: | David Thean, Alex Lam, Stephen Honeybul |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
Oculomotor nucleus Midbrain Lesion 03 medical and health sciences 0302 clinical medicine Mesencephalon Physiology (medical) Head Injuries Closed medicine Effective diffusion coefficient Humans Paralysis Palsy medicine.diagnostic_test business.industry Magnetic resonance imaging General Medicine Anatomy Middle Aged medicine.disease Magnetic Resonance Imaging Diffusion Magnetic Resonance Imaging Neurology Oculomotor Muscles 030220 oncology & carcinogenesis Closed head injury Surgery sense organs Neurology (clinical) medicine.symptom business Tomography X-Ray Computed 030217 neurology & neurosurgery Diffusion MRI |
| Zdroj: | Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia. 67 |
| ISSN: | 1532-2653 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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