Jacobs Journal of Clinical Case Reports

Isolated Third Cranial Nerve Palsy after Mild Head Trauma

*Pometlová Jana
Department Of Case Reports, University Of Ostrava, Czech Republic

*Corresponding Author:
Pometlová Jana
Department Of Case Reports, University Of Ostrava, Czech Republic
Email:jana.pometlo@post.cz

Published on: 2018-02-12

Abstract

Isolated third cranial nerve palsy in patients with a head injury can be the result of direct or indirect nerve injury. There are numerous causes for cranial nerve injury that include head trauma or other lesions. In most cases, oculomotor nerve injury is associated with severe cranial trauma. Traumatic oculomotor nerve palsy associated with mild head injury is uncommon. We report the case of isolated third cranial nerve palsy associated with minor head injury in the absence of abnormal brain imaging findings.

Keywords

Mild Head Trauma; Oculomotor Nerve Palsy

Introduction

Head injury is frequently present in motor vehicle accidents. There are numerous causes for cranial nerve injury that include head trauma or other lesions. The oculomotor nerve is somatic and visceral motor nerve. When it is completely injured the result is ptosis, dilated non-reactive pupils and restricted elevation, depression and adduction of the eyeball. Traumatic isolated third cranial nerve palsies are rare and usually associated with severe head trauma, with minor head trauma is uncommon. [1-3]