{"title":"Traumatic oculomotor nerve avulsion with subarachnoid hemorrhage identified using magnetic resonance imaging.","authors":"Keiichiro Tominaga, Takashi Moriya, Tomohiro Kikuchi, Yuki Kishihara, Hideto Yasuda, Masahiro Kashiura, Shinzato Yutaro","doi":"10.1093/omcr/omaf070","DOIUrl":null,"url":null,"abstract":"<p><p>Traumatic injury to the oculomotor nerve is a serious condition and generally carries a poor prognosis.Herein, we report a case of oculomotor nerve disruption with traumatic subarachnoid hemorrhage that was identified using an imaging technique. A 63-year-old female patient was brought to our emergency department following a traffic accident. Conservative treatment was initiated, leading to an improvement in her level of consciousness, although her right oculomotor nerve palsy symptoms remained unalleviated. She was discharged 2 weeks later with persistent symptoms of right oculomotor nerve palsy. In cases of cranial nerve palsy following head injuries, magnetic resonance imaging using steady-state constructive interference can provide valuable insights for detecting damage within the tentorial gap.</p>","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2025 6","pages":"omaf070"},"PeriodicalIF":0.4000,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202295/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Oxford Medical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1093/omcr/omaf070","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Traumatic injury to the oculomotor nerve is a serious condition and generally carries a poor prognosis.Herein, we report a case of oculomotor nerve disruption with traumatic subarachnoid hemorrhage that was identified using an imaging technique. A 63-year-old female patient was brought to our emergency department following a traffic accident. Conservative treatment was initiated, leading to an improvement in her level of consciousness, although her right oculomotor nerve palsy symptoms remained unalleviated. She was discharged 2 weeks later with persistent symptoms of right oculomotor nerve palsy. In cases of cranial nerve palsy following head injuries, magnetic resonance imaging using steady-state constructive interference can provide valuable insights for detecting damage within the tentorial gap.
期刊介绍：
Oxford Medical Case Reports (OMCR) is an open access, peer-reviewed online journal publishing original and educationally valuable case reports that expand the field of medicine. The journal covers all medical specialities including cardiology, rheumatology, nephrology, oncology, neurology, and reproduction, comprising a comprehensive resource for physicians in all fields and at all stages of training. Oxford Medical Case Reports deposits all articles in PubMed Central (PMC). Physicians and researchers can find your work through PubMed , helping you reach the widest possible audience. The journal is also indexed in the Web of Science Core Collection . Oxford Medical Case Reports publishes case reports under the following categories: Allergy Audiovestibular medicine Cardiology and cardiovascular systems Critical care medicine Dermatology Emergency medicine Endocrinology and metabolism Gastroenterology and hepatology Geriatrics and gerontology Haematology Immunology Infectious diseases and tropical medicine Medical disorders in pregnancy Medical ophthalmology Nephrology Neurology Oncology Paediatrics Pain Palliative medicine Pharmacology and pharmacy Psychiatry Radiology, nuclear medicine, and medical imaging Respiratory disorders Rheumatology Sexual and reproductive health Sports Medicine Substance abuse.
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