Eisenhut F, Gerner S, Gölitz P, Dörfler A, Seifert F (2021)
Publication Type: Journal article
Publication year: 2021
Book Volume: 16
Pages Range: 384-388
Journal Issue: 2
DOI: 10.1016/j.radcr.2020.12.001
Traumatic, isolated oculomotor nerve palsy is a rare clinical finding and only few reports demonstrate associated magnetic resonance imaging (MRI) findings. Here, we present the case of a 70-year-old woman with left-sided oculomotor nerve palsy following a mild head trauma due to an e-bike accident. Post-traumatic cerebral computed tomography revealed punctiform hemorrhage in the left interpeduncular cistern and the following MRI confirmed an intraneural hemorrhage of the left oculomotor nerve. Nine weeks later, the follow-up MRI showed progressive atrophy and contrast-enhancement of the left oculomotor nerve. To support functional recovery, a treatment with intravenous corticosteroids was started. Six months later, the patient presented with improved oculomotor nerve function and partial recovery of ptosis and diplopia. In accordance, MRI demonstrated recurrent contrast-enhancement of the atrophic nerve. In conclusion, high-resolution MRI allows the reliable delineation of the oculomotor nerve and can support diagnosis in trauma patients with isolated oculomotor nerve palsy.
APA:
Eisenhut, F., Gerner, S., Gölitz, P., Dörfler, A., & Seifert, F. (2021). High-resolution magnetic resonance imaging in isolated, traumatic oculomotor nerve palsy: A case report. Radiology Case Reports, 16(2), 384-388. https://dx.doi.org/10.1016/j.radcr.2020.12.001
MLA:
Eisenhut, Felix, et al. "High-resolution magnetic resonance imaging in isolated, traumatic oculomotor nerve palsy: A case report." Radiology Case Reports 16.2 (2021): 384-388.
BibTeX: Download