Traumatic Oculomotor Nerve Avulsion after Mild Head Injury

The authors describe a 37-year-old female who suffered a mild head injury after a car accident. She was found with an initial Glasgow coma scale score of 15. On further inspection, complete right ophthalmoplegia was observed. Initial computerized tomography (CT) scan of the head was normal, but magn...

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Main Authors: Leonardo Welling, Mariana Welling, Eduardo Antunes, Ariana Jumes, Roberto Umeda, Eberval Gadelha Figueiredo
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2016-11-01
Series:Brazilian Neurosurgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1593853
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author Leonardo Welling
Mariana Welling
Eduardo Antunes
Ariana Jumes
Roberto Umeda
Eberval Gadelha Figueiredo
author_facet Leonardo Welling
Mariana Welling
Eduardo Antunes
Ariana Jumes
Roberto Umeda
Eberval Gadelha Figueiredo
author_sort Leonardo Welling
collection DOAJ
description The authors describe a 37-year-old female who suffered a mild head injury after a car accident. She was found with an initial Glasgow coma scale score of 15. On further inspection, complete right ophthalmoplegia was observed. Initial computerized tomography (CT) scan of the head was normal, but magnetic resonance imaging showed right oculomotor nerve avulsion. The patient was discharged from the hospital without any improvement in complete ophthalmoplegia. To our knowledge, this is the first radiographically documented case of oculomotor nerve root avulsion with associated irreversible oculomotor nerve palsy after mild head injury. Considering the poor prognosis for recovery of the nerve function, an appropriate counseling should be provided to the patient and family. Neurosurgical techniques for attempting nerve reconstruction have yet to be investigated but could be a new area for clinical and surgical research.
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spelling doaj.art-9075270d8eb04ae788545ef176228a6f2022-12-21T21:33:25ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222016-11-01350431031110.1055/s-0036-1593853Traumatic Oculomotor Nerve Avulsion after Mild Head InjuryLeonardo Welling0Mariana Welling1Eduardo Antunes2Ariana Jumes3Roberto Umeda4Eberval Gadelha Figueiredo5Department of Neurosurgery, Universidade Estadual de Ponta Grossa, Ponta Grossa – PR, BrazilDepartment of Neurology, Universidade Estadual de Ponta Grossa, Ponta Grossa – PR, BrazilDepartment of Neurosurgery, Universidade Estadual de Ponta Grossa, Ponta Grossa – PR, BrazilDepartment of Neurosurgery, Universidade Estadual de Ponta Grossa, Ponta Grossa – PR, BrazilClinica da Imagem, Ponta Grossa, BrazilDepartment of Neurosurgery, Universidade de São Paulo (USP), São Paulo, BrazilThe authors describe a 37-year-old female who suffered a mild head injury after a car accident. She was found with an initial Glasgow coma scale score of 15. On further inspection, complete right ophthalmoplegia was observed. Initial computerized tomography (CT) scan of the head was normal, but magnetic resonance imaging showed right oculomotor nerve avulsion. The patient was discharged from the hospital without any improvement in complete ophthalmoplegia. To our knowledge, this is the first radiographically documented case of oculomotor nerve root avulsion with associated irreversible oculomotor nerve palsy after mild head injury. Considering the poor prognosis for recovery of the nerve function, an appropriate counseling should be provided to the patient and family. Neurosurgical techniques for attempting nerve reconstruction have yet to be investigated but could be a new area for clinical and surgical research.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1593853oculomotor nervehead injuryavulsion
spellingShingle Leonardo Welling
Mariana Welling
Eduardo Antunes
Ariana Jumes
Roberto Umeda
Eberval Gadelha Figueiredo
Traumatic Oculomotor Nerve Avulsion after Mild Head Injury
Brazilian Neurosurgery
oculomotor nerve
head injury
avulsion
title Traumatic Oculomotor Nerve Avulsion after Mild Head Injury
title_full Traumatic Oculomotor Nerve Avulsion after Mild Head Injury
title_fullStr Traumatic Oculomotor Nerve Avulsion after Mild Head Injury
title_full_unstemmed Traumatic Oculomotor Nerve Avulsion after Mild Head Injury
title_short Traumatic Oculomotor Nerve Avulsion after Mild Head Injury
title_sort traumatic oculomotor nerve avulsion after mild head injury
topic oculomotor nerve
head injury
avulsion
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1593853
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AT marianawelling traumaticoculomotornerveavulsionaftermildheadinjury
AT eduardoantunes traumaticoculomotornerveavulsionaftermildheadinjury
AT arianajumes traumaticoculomotornerveavulsionaftermildheadinjury
AT robertoumeda traumaticoculomotornerveavulsionaftermildheadinjury
AT ebervalgadelhafigueiredo traumaticoculomotornerveavulsionaftermildheadinjury