Post-Traumatic Complete Paralysis of the III Pair of Cranial Nerves at Sikasso Hospital: A Case Report

Abstract

Public road accidents (AVP) are frequent and serious and are responsible for numerous cranioencephalic and neurological lesions. Paralyzes of the oculomotor nerves are frequently reported, especially in young subjects during these AVPs. We report the case of complete paralysis of the third pair of cranial nerves in a 22-year-old young lady, following a road accident. Clinical examination revealed intrinsic and extrinsic paralysis of the 3rd pair of cranial nerves. Computed tomography showed a subarachnoid hemorrhage. After 7 days of hospitalization under analgesics and hyperhydration, a complete regression of the lesions was obtained. An angio-scan performed 3 months after the accident showed a slight non-significant stenosis of 25. 54% of the left internal carotid without anomaly of the intracranial vascular network. Paralyzes of the third cranial pair, total or partial, most often regress within variable periods of 6 months to 2 years. The prevention of accidents on the public highway requires the application of road safety measures.