Bilateral medial rectus palsy due to midbrain infarction following concussion head injury

Here, we report a rare case of bilateral medial rectus palsy following closed head injury. An adult male had an accidental fall which rendered him unconscious. This was followed by diplopia and restricted ocular motility. He received supportive medical therapy. He was examined for systemic medical a...

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Main Authors: Hansa H Thakkar, Apeksha Agrawal, Stuti Trivedi, Kartikey Singh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2018;volume=66;issue=1;spage=166;epage=167;aulast=Thakkar
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author Hansa H Thakkar
Apeksha Agrawal
Stuti Trivedi
Kartikey Singh
author_facet Hansa H Thakkar
Apeksha Agrawal
Stuti Trivedi
Kartikey Singh
author_sort Hansa H Thakkar
collection DOAJ
description Here, we report a rare case of bilateral medial rectus palsy following closed head injury. An adult male had an accidental fall which rendered him unconscious. This was followed by diplopia and restricted ocular motility. He received supportive medical therapy. He was examined for systemic medical and ophthalmic findings. Routine laboratory tests and imaging techniques were employed as per the symptoms. Diffusion-weighted imaging on magnetic resonance imaging proved it to be a rare presentation of small bilateral midbrain infarct. He recovered fully after 8 months.
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spelling doaj.art-81f9a67a001d41759310a206f544a9f02022-12-21T18:56:29ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892018-01-0166116616710.4103/ijo.IJO_570_17Bilateral medial rectus palsy due to midbrain infarction following concussion head injuryHansa H ThakkarApeksha AgrawalStuti TrivediKartikey SinghHere, we report a rare case of bilateral medial rectus palsy following closed head injury. An adult male had an accidental fall which rendered him unconscious. This was followed by diplopia and restricted ocular motility. He received supportive medical therapy. He was examined for systemic medical and ophthalmic findings. Routine laboratory tests and imaging techniques were employed as per the symptoms. Diffusion-weighted imaging on magnetic resonance imaging proved it to be a rare presentation of small bilateral midbrain infarct. He recovered fully after 8 months.http://www.ijo.in/article.asp?issn=0301-4738;year=2018;volume=66;issue=1;spage=166;epage=167;aulast=ThakkarDiffusion-weighted imaging in medial rectus palsyinfarctmedial rectus palsy
spellingShingle Hansa H Thakkar
Apeksha Agrawal
Stuti Trivedi
Kartikey Singh
Bilateral medial rectus palsy due to midbrain infarction following concussion head injury
Indian Journal of Ophthalmology
Diffusion-weighted imaging in medial rectus palsy
infarct
medial rectus palsy
title Bilateral medial rectus palsy due to midbrain infarction following concussion head injury
title_full Bilateral medial rectus palsy due to midbrain infarction following concussion head injury
title_fullStr Bilateral medial rectus palsy due to midbrain infarction following concussion head injury
title_full_unstemmed Bilateral medial rectus palsy due to midbrain infarction following concussion head injury
title_short Bilateral medial rectus palsy due to midbrain infarction following concussion head injury
title_sort bilateral medial rectus palsy due to midbrain infarction following concussion head injury
topic Diffusion-weighted imaging in medial rectus palsy
infarct
medial rectus palsy
url http://www.ijo.in/article.asp?issn=0301-4738;year=2018;volume=66;issue=1;spage=166;epage=167;aulast=Thakkar
work_keys_str_mv AT hansahthakkar bilateralmedialrectuspalsyduetomidbraininfarctionfollowingconcussionheadinjury
AT apekshaagrawal bilateralmedialrectuspalsyduetomidbraininfarctionfollowingconcussionheadinjury
AT stutitrivedi bilateralmedialrectuspalsyduetomidbraininfarctionfollowingconcussionheadinjury
AT kartikeysingh bilateralmedialrectuspalsyduetomidbraininfarctionfollowingconcussionheadinjury