"Pupil Unleashed: Unraveling the Enigma of an Unusual Traumatic Head In" by Akash Daswaney, Shuchi Abhishek et al.
 

Pupil Unleashed: Unraveling the Enigma of an Unusual Traumatic Head Injury: A Case Report

Document Type

Article

Publication Title

Clinical Practice and Cases in Emergency Medicine

Abstract

Introduction: Isolated oculomotor nerve palsy after mild traumatic brain injury is unusual and prognostically significant due to unclear mechanisms and recovery challenges. We present a case of isolated oculomotor nerve palsy following minor head trauma, shedding light on this unusual occurrence. Case Report: A 24-year-old male experienced severe vision loss and right-sided oculomotor nerve palsy after a motor vehicle collision. Initial imaging showed a hemorrhagic focus in the left posterior fossa and a contusion in the corpus callosum, yet no direct cause for the nerve palsy was found. Partial recovery was observed after 12 months. Conclusion: This case underscores the importance of maintaining a heightened suspicion for occult intracranial findings, especially when the initial non-contrast computed tomography was inconclusive. Timely clinical assessment and appropriate radiological investigations by emergency physicians are crucial for improving the prognosis. [Clin Pract Cases Emerg Med. 2024;8(3)282–286.].

First Page

282

Last Page

286

DOI

10.5811/cpcem.20308

Publication Date

1-1-2024

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