One-and-a-half syndrome secondary to transorbital penetrating injury
| Autor: | Tess Fitzpatrick, Simon Thebault, Margaret Moores, Hyman Rabinovitch |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
genetic structures business.operation Internuclear ophthalmoplegia Hemorrhage Diagnosis Differential Ocular Motility Disorders Pons medicine Humans One and a half syndrome Retrobulbar Hemorrhage Diplopia business.industry Horizontal gaze palsy Middle Aged medicine.disease Magnetic Resonance Imaging eye diseases Eye Injuries Penetrating Surgery Subconjunctival hemorrhage Accidental Falls Female Neurology (clinical) medicine.symptom business Transorbital Penetrating trauma |
| Zdroj: | Neurology. 90(2) |
| ISSN: | 1526-632X |
| Popis: | A 46-year-old woman sustained a penetrating left eye (OS) injury after tripping and falling onto a motorcycle antenna. She removed the antenna immediately and presented to the emergency room complaining of diplopia. Examination demonstrated proptosis and subconjunctival hemorrhage OS. Her diplopia was initially attributed to mechanical restriction OS secondary to retrobulbar hemorrhage visualized on CT scan (figure 1). Careful examination, however, revealed left conjugate horizontal gaze palsy and left internuclear ophthalmoplegia. This was consistent with one-and-a-half syndrome from left pons penetrating trauma, confirmed on MRI (figure 2). Two months later, her condition had improved, but she continued to demonstrate abduction paresis OS. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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