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Shrapnel injury of isolated third cranial nerve.


ABSTRACT: Isolated third nerve palsy develops in numerous intracranial pathologies such as closed head trauma, tumor, and aneurysm. Isolated oculomotor nerve palsy caused by shrapnel injury is uncommon. After a penetrating intracranial shrapnel injury, our patient with oculomotor ophthalmoplegia underwent surgery. Microsurgery removed the shrapnel that was applying pressure on the third nerve, resulting in contusion. A partial recovery associated with regeneration was observed at month 9. Extraocular muscle surgery should be planned if palsy does not resolve over a prolonged period of time.

SUBMITTER: Ulutas M 

PROVIDER: S-EPMC4242815 | biostudies-other | 2014 Dec

REPOSITORIES: biostudies-other

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