Abstract
Unilateral Oculomotor Nerve Palsy from Chronic Subdural Hematoma: Case report and Review of the Literature
Highlights
Chronic subdural hematoma is a common result after a mild to moderate head injury, especially in elderly who received anticoagulant agents [1,2]
There is a broad spectrum of signs and symptoms, from a mild headache, hemiparesis to comatose patient
Isolated 3rd cranial nerve palsy from bilateral chronic subdural hematoma (chSDH) was first published from Phookan et al, who described an immediate resolution of palsy after surgery (4)
Summary
Unilateral Oculomotor Nerve Palsy from Chronic Subdural Hematoma: Case report and Review of the Literature. Chronic subdural hematoma with isolated 3rd cranial nerve palsy was detected in a patient who received an antiplatelet agent. He was operated and after surgery had an immediate resolution of palsy. The proposed mechanism of the reversible 3rd nerve palsy was a compression to the left uncus and a microvascular infarction of the nerve due to mechanical reason, that is rarely observed in this type of intracranial hematomas
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